The the Medicare Shared Savings Program saved Medicare $2.1 billion in 2023, the Affordable Care Act reduced the uninsured rate without increasing spending. An event on Medicare and Medicaid integration and new health equity resources.

Lawsuits by UnitedHealth Group, Humana, and Centene against CMS over Medicare Advantage star ratings, the financial implications of potential rating drops, and trends from the NAACOS Fall 2024 Conference,

The CMS's initiative for accountable care by 2030, the settlement involving the Blue Cross Blue Shield Association related to antitrust claims. The importance of strategic reforms and improvements to enhance competition and provider reimbursements in the health care sector.

CMS’ evaluation of the Acute Hospital Care at Home initiative, 2024 Physician Compensation Survey, and Vice President Kamala Harris' proposal to expand Medicare to include long-term home care services. As well as, the unmet needs among low-income Medicare Advantage beneficiaries and a racial health equity progress report.

Congress's unfinished health care priorities, concerns over Medicare Advantage plans facing lower star ratings, and new resources on value-based care and ACO success strategies. As well as, upcoming funding opportunities for state-based health care cooperatives.

Congress passes a stop-gap spending bill to avert a government shutdown, the Senate holds Steward Health Care's CEO in criminal contempt, insights on the U.S. health care system's performance, Medicare Advantage bonus payments, and a podcast on private equity acquisitions in hospices.

Updates on the PACE program expansion in California, Elevance Health’s efforts to recover funds from providers due to alleged overprescribing of Ozempic, improving primary care payments for Medicare outcomes, insights into the latest physician fee schedule proposals, and resources about the Patient-First Care model.

The ongoing congressional negotiations to prevent a potential government shutdown by October 1st, new regulations strengthening mental health parity requirements, recent legal corrections regarding the FTC's non-compete rule, and updates on various health care funding and regulatory issues.

A projected shortage of health care workers nationwide by 2028, legal challenges to the FTC’s noncompete rule, and MIPS payment adjustments.

The rise in state legislation targeting prior authorization, the dismissal of a Medicare Advantage overcharging plan due to industry pushback, insights from a podcast on health issues in the general election, and a discussion on designing incentive structures for value-based care.

Medicare’s upcoming lower drug prices for Part D, the formation of Mosaic Health, and CMS’s new data-sharing strategy. Also payer strategies for health equity, the Preliminary ACO PC Flex Rate Book, and a new podcast on mental health crisis response.

The growth of prior authorization denials in Medicare Advantage, CMS’s new Transitional Coverage for Emerging Technologies (TCET) Pathway, insights on health care spending growth targets, the 2024 Rural Health Hackathon, and how cost-effectiveness analyses might perpetuate health disparities.

CMS’s FY 2025 IPPS Final Rule, which includes a 2.9% increase in hospital operating payment rates, the new mandatory Transforming Episode Accountability Model (TEAM), and CVS Health’s expansion of Oak Street Health Centers.

Updates to the ACO REACH Model, North Carolina’s medical debt relief program, and new insights on the 2025 Medicare Physician Fee Schedule. Also the finalized Transforming Episode Accountability Model and recent discussions on health care bills and coverage denials.

Health care costs are projected to rise 8% next year. Barriers to primary care practitioners joining Value-Based Payment models are explored. Reports on pharmacy benefit managers, a state scorecard on reproductive care, and Coral Health Advisors' certification as a woman-owned small business.

The FTC's antitrust probe into DaVita and Fresenius for noncompete contracts and CMS's revised MA star ratings after judicial rulings. As well as, key insights on the proposed 2025 Medicare Physician Fee Schedule.

Medicare Advantage's $50B from questionable diagnoses, evaluation reports for Vermont ACO and ACO REACH models, and the newly released 2025 Physician Fee Schedule.

A federal court ruling preserving the ACA's preventive care mandate, CMS recalculating Star Ratings for Medicare Advantage plans, and quarterly reductions in coinsurance for Part B drugs. As well as, CMS's new funding opportunity for the Transforming Maternal Health Model and the latest episode of the Tradeoffs podcast discussing support for caregivers.

The impact of enhanced premium tax credits on reducing uninsured rates and the potential effects of the Supreme Court decision on the Chevron doctrine for health agencies. As well as, CMS's new Innovation in Behavioral Health Model and lessons from Maryland's hospital global budgeting.

Updates on AHRQ's new Health Care Extension Service, SCAN Health Plan's successful lawsuit against CMS over star ratings, and a slowdown in private equity acquisitions of smaller medical businesses. Resources on advancing health equity in value-based care, a podcast on community health workers, and an upcoming A4H Hill briefing.