This week’s Medicare updates include new condition tracks for the ACCESS Model, information on Health Professional Shortage Area bonuses for 2027, and more!
CMS recently released its 2026‒2027 seasonal influenza and COVID-19 vaccine pricing file, providing updated Part B payment allowances for several COVID-19 vaccine products.
This week’s Medicare updates include recent fraudulent billing activity among certain DMEPOS suppliers, a final decision memo on coverage of transcatheter aortic valve replacements, and more!
UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, 2026, the insurer will no longer require approval for more than 1,700 procedure codes across various plans.
CMS released an advisory for certain clinicians who are qualifying alternative payment model (APM) participants, notifying them that their current billing information must be updated to receive funds for the 2026 payment year.
