Medicare & Medicaid

Out-of-pocket costs for popular diabetes and weight-related medications nearly doubled in 2025, with nearly universal prior authorization requirements, according to new JAMA research.

From Rhode Island to California, states are experimenting with ways to funnel more money into primary care, though it’s uncertain whether those investments can rein in overall health costs.

Medicaid cuts threaten essential care for special needs children, risking their health and increasing costs. There is a better solution.

A JAMA viewpoint argues new reimbursement policies may deliver long-sought revenue to primary care, though uptake, staffing and fee cuts elsewhere cloud the outlook.

CMS announces application details as RFK calls it ‘the largest investment ever made’ to improve rural health.

MGMA, Accountable for Health offer analyses of 2026 Medicare Physician Fee Schedule.

Comments published about next year’s Medicare Physician Fee Schedule.

Accountable care organizations boosted Medicare’s bottom line and improved patient outcomes in 2024, with physician-led groups reporting the strongest results.

New analysis argues that Medicare’s payment system undervalues cognitive effort in primary care, contributing to physician shortages and reduced patient access.

Anders Gilberg, SVP of government affairs at MGMA, joins the show with health policy updates from Washington.

Anders Gilberg, SVP of government affairs at MGMA, joins the show with health policy updates from Washington.

Patients in value-based care practices were nearly 28% more likely to receive full guideline-directed therapy.

67 health organizations sign letter urging faster access and coverage

More developments and data around the finances and patient outcomes of traditional Medicare and Medicare Advantage.

Analyst J.D. Power releases 2025 Medicare Advantage report.

Potential changes for remote physiologic monitoring and remote therapeutic monitoring in the 2026 Medicare Physician Fee Schedule.

Lucienne Marie Ide, M.D., Ph.D., founder and CEO of Rimidi, joins the show to break down the proposed 2026 Medicare Physician Fee Schedule and what it means for remote patient monitoring (RPM).

Potential changes for remote physiologic monitoring and remote therapeutic monitoring in the 2026 Medicare Physician Fee Schedule.

Potential changes for remote physiologic monitoring and remote therapeutic monitoring in the 2026 Medicare Physician Fee Schedule.

Potential changes for remote physiologic monitoring and remote therapeutic monitoring in the 2026 Medicare Physician Fee Schedule.

Primary care is included among specialties in a new examination of a large practice around Chicago.

Potential changes for remote physiologic monitoring and remote therapeutic monitoring in the 2026 Medicare Physician Fee Schedule.

America’s Physician Groups also sound alarm on possible changes to USPSTF.

Potential changes for remote physiologic monitoring and remote therapeutic monitoring in the 2026 Medicare Physician Fee Schedule.

Potential changes for remote physiologic monitoring and remote therapeutic monitoring in the 2026 Medicare Physician Fee Schedule.