Virtual Specialty Care Has Time. Will We Use It Wisely?
The specialty access and capacity crisis demands more than incremental fixes. It requires expanding virtual access and fundamentally rethinking how specialty care can be delivered.
How New Medicare Rules Will Reshape Cardiac Monitoring and Remote Patient Care
For providers, the rules mean more control over monitoring and the chance to keep a larger share of reimbursement. For device companies, they create a chance to show measurable value and guide clinicians through a system that is shifting quickly.
How Artera is Using Agentic AI to Humanize Patient Care
Artera President Tom McIntyre talks about the practical application of AI in healthcare.
Medicare Advantage’s Discipline Era — and Why the Final Rate Notice Matters More Than It Appears
The challenge for policymakers is balance: encouraging rigor without unintentionally weakening a program that now serves the majority of Medicare beneficiaries. Thoughtful rate calibration can determine whether this transition strengthens the program or strains it unnecessarily.
Medicare Is Covering GLP-1s – It’s Time to Cover the Care That Makes Them Sustainable
We have to cover medical nutrition therapy for those who need it most, including Medicare beneficiaries. Almost all commercial payers are already doing this - the government needs to catch up.
AMA to Congress: Make Medicare Telehealth Services Permanent
The American Medical Association is urging Congress to permanently extend Medicare’s pandemic-era telehealth flexibilities, warning that temporary extensions create uncertainty for patients and providers.
CMS’ ACCESS Model: A New Push to Rewire Medicare Around Outcomes?
CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care by tying payments to patient outcomes and encouraging tech-enabled, preventive care. Experts say it could benefit digitally mature, value-focused providers first, but its overall success will hinge on clear metrics, better data sharing and sustained participation.
The Mechanics of a More Connected Healthcare Ecosystem [Video]
Arbiter’s Anjali Jameson on hospital and payer alignment.
Changes Are Coming to 2026 Medicare Benefits
Here are three things providers should consider when it comes to Medicare.
Lawmakers Introduce Multiple Bills Aimed at Medicare Advantage Reform
Thirteen House Democrats introduced eight bills to rein in Medicare Advantage and bolster traditional Medicare.
Pluto Health Expands Care Model to Medicare, Medicaid and Major Commercial Plans
Pluto Health is now working with Medicare, Medicaid and commercial plans like UnitedHealthcare, Aetna, Blue Cross Blue Shield, Ambetter and Cigna.
SOAR Act Would Help Individuals Relying on Oxygen Thrive
The bill clarifies very specific patient protections and codifies a Patient’s Bill of Rights, all of which would ensure that individuals receiving supplemental oxygen in the home – and their suppliers – understand requirements around equipment, communications, and care options.
The New Blueprint: How Clever Care Health Plan is Scaling Its Member Experience [Video]
MedCity News was at the Vive conference and spoke with executives who shared their insights for the healthcare industry.
The Hidden Crisis in Serious Illness Care and How We Fix It
We need a national strategy to expand access to palliative care, train the next generation of clinicians, and build the infrastructure that allows for scalable, tech-enabled, patient-centered delivery.
Workload Up, Payment Down: The Growing Strain on Independent Practices
Physicians are facing rising workloads, shrinking support staff and declining reimbursement — resulting in a burnout crisis and threatening the sustainability of independent practices. Experts say urgent Medicare payment reforms are needed to prevent further consolidation, as well as preserve access to care.
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350 Healthcare Organizations Call for Extension of Medicare Telehealth Access
A group of healthcare organizations sent a letter to Congressional leaders urging them to permanently extend Medicare telehealth flexibilities introduced during the Covid-19 pandemic.
For the Sake of their Constituents, Congress Should Increase Medicare Payments and Oppose Deep Cuts to Medicaid
Drastic cuts to Medicaid and Medicare proposed by Congress will increase wait times, result in more fragmented or nonexistent care, and cause unnecessary deaths and despair.