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Defense lawyers in demand amidst health care fraud crackdown
The U.S. Department of Justice is expanding AI-powered health care fraud enforcement as prosecutors target Medicare and Medicaid fraud with advanced analytics nationwide.
Senate Democrats’ push to end Medicare prior authorization pilot fails
Sen. Patty Murray, D-Wash., vice chair of the Senate Appropriations Committee, had recently introduced a resolution to overturn the Wasteful and Inappropriate Service Reduction.
The next step of site-neutral, and a fiery PBM hearing
Medicare proposes to reduce payments to hospitals for certain drugs and imaging services.
New Poll: 94% of Americans Say Congress Must Act on Health Care Costs, as Families USA Convenes Bipartisan Policy Symposium
Both House and Senate committees are marking up legislation on hospital price transparency, prescription drug and Medicare Advantage reform. WASHINGTON, D.C. – A new national poll shows that 94% of Americans believe it is important for the President and Congress to take action to lower health care costs. The poll was commissioned by Families USA, […]
Maine Democrats rally around logger Troy Jackson to replace Graham Platner
Jackson, a progressive who champions worker rights and Medicare-for-all, has quickly emerged as the favorite to take on Republican Susan Collins in the Senate race in November.
UnitedHealthcare extends coverage at ECU Health hospitals
UHC says the extension runs through August 6th for commercial, Medicare Advantage, and Individual Family Plan participants.
Medicare wants to shake up how it pays for clinical AI
In this edition of STAT Health Tech: Centers for Medicare and Medicaid Services proposes major changes to RPM, clinical AI payment models.
Two more insurers sue CMS over Medicare Advantage star rating methodology
The lawsuits come days after Elevance Health filed a complaint of its own, asking a court to compel the Centers for Medicare & Medicaid Services to remain consistent in how it doles out stars.
KFF Health Tracking Poll: Public Views on Fraud in Government Health Programs
As the 2026 midterms approach, health care costs remain voters' top health priority, but fraud in government health programs, including Medicaid and Medicare, is resonating with Republican voters, 55% of whom say it's extremely important for candidates to address. Most voters say there is at least “some” fraud in government health programs, but larger shares say there is fraud in the tax system, defense, and foreign aid, while the smallest share sees fraud in the ACA Marketplaces.
Physician lawmakers introduce bipartisan fix for radiologist Medicare pay woes
Members of the Democratic and GOP Doctors Caucuses are proposing the Patients First Act, bolstering incentives to save independent practices and “reversing decades of consolidation.”
Senators press UnitedHealthcare and other Medicare Advantage giants over denied care
Demand for more information on prior authorization rules follows a federal watchdog report in June and growing pressure on health insurers grows.
CMS proposes Medicare payment cuts in 2027—physician groups pledge to bring about change
Cardiologists received a nice bump in pay in 2026 thanks to a one-time 2.5% conversion factor increase. That expires at the end of the year, however, and physicians will see their payments decrease as a result.
AHA responds to CMS on potential modifications to ACA’s Essential Health Benefits
The AHA July 15 responded to a request for information from the Centers for Medicare & Medicaid Services on the Affordable Care Act’s Essential Health Benefits framework, which creates the guardrails for defining comprehensive insurance coverage.
Medicare releases 2027 physician fee schedule with ‘devastating’ cuts to radiologist payments
"These cuts ignore the burden that rising practice costs are placing on ... radiology practices and our healthcare system," one imaging society told Radiology Business.
Trump administration claims healthcare fraud crackdown has saved taxpayers $5.56B in six months
A new report from the U.S. Department of Health and Human Services’ Office of Inspector General shows most of the money comes from a small number of huge cases, where the federal government was able to reclaim hundreds of millions of dollars in Medicare and Medicaid funds being abused by criminal defendants.
Holland & Knight Health Dose: July 14, 2026 | Insights
Weekly healthcare policy briefing covering congressional action, FDA and CMS developments, 340B reform, Medicare updates, AI oversight and key regulatory changes.
The policy gaps in behavioral health coverage — and what it’ll take to close them, per 1 exec
Nearly four years after the 988 Suicide & Crisis Lifeline launched, states, payers and county systems still define behavioral health crisis care inconsistently, and Medicare offers limited coverage for community-based crisis stabilization services — leaving safety-net funding, Medicaid, federal block grants, and state and local dollars to carry the cost for nearly 200 million Americans. […]
Trump's HHS abandons threat to withhold Medicare and Medicaid funding over trans care
NPR has learned that the Department of Health and Human Services will not be finalizing its most aggressive attempt to end gender affirming care for youth nationally.
CMS Releases Medicare Home Health Payment Proposed Rule for 2027
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule updating the Home Health (HH) Prospective Payment System (PPS) for calendar year (CY) 2027.
CMS Approach to Work Reporting Requirement Won’t Work for People with Substance Use Disorders or Mental Health Conditions
By Deborah Steinberg, Senior Health Policy Attorney, Legal Action Center A few weeks ago, CCF explained how the Centers for Medicare & Medicaid Services (CMS) issued a new interim final rule with comment period (IFR) that went far beyond its authority to implement the new work reporting requirements. H.R. 1 – the budget reconciliation law […]
Pearl Health Raises $110 Million to Expand Its AI Platform Helping Providers Deliver Better Outcomes at Lower Cost for Medicare Patients
/PRNewswire/ -- Pearl Health, a healthcare technology company helping manage risk and deliver better care to Medicare patients, today announced a $110 million...
CMS Proposes Home Health Prospective Payment System Rate Update
What: On July 6, 2026, the Centers for Medicare & Medicaid Services (CMS) proposed a rule to update the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. Why: The proposed rule i
Digital Health Tools and Technologies: An Overview of CMS’ Recent Efforts to Expand Their Use in Medicare
As an increasing share of older adults have adopted digital health technologies over the past several years, and with most expressing interest in using them to manage their health care, the Centers for Medicare & Medicaid Services (CMS) has introduced several initiatives to expand the use of digital health technologies in Medicare. This brief summarizes these initiatives and draws on data from various surveys, including KFF Tracking Polls from September 2025 and March 2026, to highlight facts about recent experiences with and use of digital health tools among Medicare beneficiaries and older adults more generally.
Elevance Health sues CMS in latest challenge to Medicare Advantage star rating methodology
The complaint accuses the Centers for Medicare & Medicaid Services of failing to properly recalculate its grades for Medicare Part C plans, something it promised to do in June.
Democratic socialists give new life to Medicare for All
The affordability crisis and frustration with the health system are fueling a new appetite for big-government solutions.
These Medicare beneficiaries thought their drug plan was free. Then they lost it
Thousands of people lost coverage over as little as $8 in delinquent payments. They didn't know their zero-dollar premiums had gone up and they owed money. Most now can't get coverage until 2027.
Universal Health Services (UHS) Stock May Trade At A Discount On Medicare Payment News
Universal Health Services stock has rebounded in the short term but is still down sharply year to date, which sits alongside valuation checks that currently paint the shares as looking cheap rather than stretched. After falling 28% year to date, Universal Health Services now raises the question of whether the recent bounce is simply a recovery from depressed levels or a sign that value investors are stepping back in. Expectations for solid earnings and ongoing support from Medicare payments...
Universal Health Services (UHS) Is Up 8.7% After CMS Proposes Hospital Payment Increase and Analyst Support
In recent days, Universal Health Services received a boost after the Centers for Medicare & Medicaid Services proposed a 2.4% payment rate increase for hospitals, alongside supportive analyst commentary on its operating performance and upcoming second-quarter results. This regulatory tailwind for hospital reimbursement comes as UHS continues to expand its behavioral health footprint and prepare for its next earnings update, potentially influencing how investors assess its longer-term growth...
Dr. Oz on Medicare covering weight loss drugs, America's health innovation
Dr. Mehmet Oz discusses health innovation for America's 250th birthday, highlighting a new initiative where Medicare will cover GLP-1 weight loss medications for $50 a month, aiming to reduce health complications.
Why you should wash new clothes before wearing; signs that you are aging well; effective leadership in health care; plus other stories with Vanderbilt Health sources
Jami Miller, MD, Professor of Clinical Dermatology, and David Gaston, MD, PhD, Assistant Professor of Pathology, Microbiology and Immunology, are quoted in a Southern Living piece about the importance of washing new clothes before wearing them. Dyes, chemicals, mold and bacteria are all potential troublemakers lurking around your new duds. Parul Goyal, MBBS, Associate Professor of Clinical Medicine, was quoted in a Huff Post story outlining signs that you are aging well. Tae Kon Kim, MD, PhD, Assistant Professor of Medicine, was interviewed by Healio for a story headlined, “Effective leadership in health care ‘starts with listening.’” AAMC News reporter Patrick Boyle interviewed Wes Ely, MD, Professor of Medicine and Critical Care, for a story about ICU delirium. PharmaVoice reporter Kelly Bilodeau interviewed Romney Humphries, PhD, Vice Chair and Executive Medical Director, Clinical Services, for a story about the CDC’s new data that shows an alarming increase in the prevalence of a gene that can make “nightmare bacteria” significantly harder to treat. American Community Media interviewed William Schaffner, MD, Professor of Preventive Medicine, for a piece about Ebola that was reused by several media outlets around the U.S., including The Mississippi Link. Stacie Dusetzina, PhD, Professor of Health Policy, was quoted by The Independent in a story about how Medicare will soon cover weight-loss drugs. Courtney Schadt, MD, Associate Professor of Dermatology, was interviewed by Tennessean reporter Beth Warren, about tanning safety and tanning fads circulating social media. WKRN News 2 interviewed Amanda Peltier, MD, Professor of Neurology, about the correlation between head trauma and ALS following the diagnosis of former Titans running back Chris Johnson.
Elevance sues government over $115 million tied to Medicare Advantage star ratings
The health insurer says CMS didn't calculate its star ratings appropriately.
Trump admin proposes rule it says could save Medicare patients $1.1B on drugs
The change would apply to hospitals that serve low-income patients
Medicare's health tech spending test
Emerging technologies can improve people's health if we fundamentally change the way the system pays for care.
Elevance pays CMS $342M to assuage concerns of noncompliance and overbilling
The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating.
Healthy Returns: Walmart, CVS step in to help seniors navigate Medicare coverage of obesity drugs
Medicare has started covering obesity drugs for the first time – and companies like Walmart and CVS Health are playing an important role for patients.
With DeGette’s loss, Raul Ruiz eyes her job on a powerful health panel - Live Updates
The Energy and Commerce Health Subcommittee has jurisdiction over HHS, Obamacare, Medicare and Medicaid.
With DeGette’s loss, Raul Ruiz eyes her job on a powerful health panel - Live Updates
The Energy and Commerce Health Subcommittee has jurisdiction over HHS, Obamacare, Medicare and Medicaid.
CMS proposes updates to home health payments for CY 2027, updates to provider enrollment and quality and value-based purchasing programs
The Centers for Medicare & Medicaid Services July 1 issued its calendar year 2027 proposed rule for the home health prospective payment system. The rule proposes a 2.4% update, which includes a 3.1% market basket update, reduced by a 1.0 percentage point cut for productivity, as well as an 0.3 percentage point increase related to outlier payments. In addition, the agency proposes a temporary cut of 3.0% that it states is necessary to achieve budget-neutral implementation of the Patient-driven Groupings Model.
What older adults need to know before taking a GLP-1 medication to lose weight
Starting Wednesday, millions of Medicare-qualifying adults will have access to popular medications for weight loss at deep discounts through a temporary federal program called the Medicare GLP-1 Bridge.
Medicare will start covering weight-loss drugs on July 1 for the first time.
Millions of Medicare enrollees will gain their first-ever coverage for drugs for weight loss under a temporary pilot program that launches July 1.
Medicare will start covering weight-loss drugs on July 1 for the first time. Here’s what you need to know
Millions of Medicare enrollees will gain their first-ever coverage for drugs for weight loss under a temporary pilot program that launches July 1.
Medicare is about to cover GLP-1 drugs for weight loss. Here’s what to know.
The Trump administration will launch its pilot program on Wednesday. It lasts 18 months, and estimated costs to taxpayers have not been disclosed.
Medicare pushes end-of-life discussions in hospitals
Questions about living wills and other "advanced directives" are often skipped — or become a box-check in the admissions process.
After her insurer denied coverage of medication, she ended up in the ER
After switching Medicare Advantage plans, a woman with a weakened immune system got tangled in the preapproval process, which the insurance industry has vowed to improve.
Uneven access to radiology AI could deepen healthcare disparities
New Neiman research explores how Medicare's New Technology Add-On Payment has impacted use of an AI triage tool for pinpointing severe strokes.
House committee advances radiology-backed legislation to curb prior authorization
The Improving Seniors’ Timely Access to Care Act seeks to streamline the “often cumbersome and time-consuming” task of approving requests for medical imaging in Medicare Advantage.
A Clover Health Director Sold Over 67,000 Company Shares. Here's a Closer Look at the Transaction.
This healthcare technology firm, focused on Medicare Advantage plans, reported a notable insider sale amid muted stock performance.
Medicare will soon offer some older Oregonians weight loss drugs for $50 a month. Here’s how it works.
Medicare has long excluded coverage of GLP-1s prescribed solely for weight loss.
Trump nominates Chris Klomp as HHS second-in-command
President Donald Trump on Thursday named Medicare director and former health care executive Chris Klomp to be deputy secretary of the US Department of Health and Human Services.
12 arrested in South Florida in nationwide investigation into $6.5B health care fraud
Investigators say Medicaid and Medicare thieves in South Florida bilked taxpayers for $27 million for everything from fake therapy to medical equipment patients never received. Officials seized the stolen taxpayer money from Key West to Fort Pierce.
CMS projects national health spending grew to $5.7 trillion in 2025
National health spending is projected to have reached $5.7 trillion in 2025, up 7.3% from 2024, according to an analysis by the Centers for Medicare & Medicaid Services published yesterday by Health Affairs. It marks the third consecutive year of growth greater than 7%. CMS projects growth to continue in 2026 due to continued demand for high-cost retail prescription drugs, mostly from individuals with Medicare and private insurance.
Immigrant-led residential care businesses in Maine launch new coalition
The group consists of 30 agencies who provide Medicare services to Mainers with intellectual disabilities and autism.
4 charged in Nebraska as part of DOJ national health care fraud takedown
Criminal charges announced today are tied to alleged schemes to defraud Medicare and Medicaid, according to the U.S. Attorney’s Office for the District of Nebraska.
Louisville doctor, nurse and nonprofit founder charged in federal health care fraud crackdown
Federal prosecutors in the Western District of Kentucky announced charges in four separate cases involving alleged schemes to defraud Medicare and Medicaid, misuse medical credentials and controlled substances, and submit
Cityblock in talks to buy fellow General Catalyst-backed startup Homeward Health
Cityblock Health in talks to acquire General Catalyst-backed rural care startup Homeward, expanding into Medicare Advantage, source says.
Massachusetts man among 455 charged in nationwide crackdown on health care fraud
A Massachusetts man is among 455 people charged in a nationwide crackdown on health care fraud, with the Stoughton man allegedly carrying out an over $5 million Medicare fraud scheme.
Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
A bipartisan group of senators June 18 urged the Centers for Medicare & Medicaid Services to improve implementation of the Rural Health Transformation Program.
Holland & Knight Health Dose: June 23, 2026 | Insights
The Centers for Medicare & Medicaid Services CMS issued a request for information RFI seeking input on implementation of new requirements for pharmacy benefit managers PBMs.
Backed by threat of clawbacks, feds wield tight grip on $50B rural health fund
Centers for Medicare & Medicaid Services Administrator Mehmet Oz praised states’ plans when announcing the rural health program awards last year and said his agency would help states “turn their ideas into lasting improvements for rural families.” But state officials and healthcare leaders said it’s also clear the agency wants to encourage specific policy changes and hold states accountable to the promises they made and rules they agreed to follow.
Medicare's AI push snarls patients and doctors in errors and delays
Cardiology groups strongly oppose expansion of Medicare AI prior authorization model
ASE, ASNC and SCAI have come out against a WiSER model using AI for traditional Medicare prior authorizations.
CVS Pharmacy® expands GLP-1 support to lower costs, improve access, and help patients stay on therapy
New $50 monthly copay for eligible Medicare patients, one-on-one pharmacist guidance, and over-the-counter products to help manage common side effects available to support patients
Interwell Health delivers savings, top quality scores in Kidney Care Choices Model
Interwell Health, the largest participant in the Center for Medicare and Medicaid Innovation's Kidney Care Choices (CKCC) Model, has produced shared savings of $273 million in its first three years while also receiving top quality scores in that period, Interwell, a unit of Fresenius Medical Care, said this month.
At CMS, Oz Eyes Faster Tech Approvals and a 'Power to Convene'
Top Centers for Medicare & Medicaid Services officials said Thursday they plan to increase patients’ access to new technology, including AI, but that they’re still exploring how best to regulate it and ensure patient safety. Addressing the U.S. News Healthcare of Tomorrow conference in Washington,
How Healthcare Policy Shifts Are Reshaping Care for Vulnerable Patients
The Bronx is the poorest congressional district in America and the sickest county in the state of New York. Montefiore Einstein, the academic medical center in the Bronx, serves a population that is 85% dependent on Medicaid and Medicare. As federal Medicaid rules tighten and funding shrinks, more ...
CMS Ignores the Law (Again) – This Time Taking Health Insurance Away from Individuals with Substance Use Disorders, Mental Health Conditions, and Serious Health Conditions
Just a few weeks ago, we explained how the Center for Medicare and Medicaid’s (CMS) proposed regulation on state directed payments goes far beyond the statutory authority in H.R. 1 to incredibly harmful effect. Now it has happened again. This time CMS has issued an interim final rule on work reporting requirements (the “IFR”) that […]
Exclusive | Connie Health Grabs $40 Million to Give Local Medicare Advantage Brokers an AI Lift
HealthQuest Capital led the financing for Connie, which helps local brokers compete with national players.
CMS proposes codifying, strengthening Medicare drug price negotiations
Presented by Philip Morris International{beacon} Health Care Health Care PRESENTED BY The Big Story Protect Our Care highlights adverse effects of GOP cuts on hospitalsDemocratic-…
Health Outcomes Data For Wearables Key To Medicare Coverage Expansion
Insurance coverage of wearables is spotty. This could soon change as Medicare begins a pilot to facilitate access to wearables while gathering data on health outcomes.
CMS proposes major TAVR changes, including Medicare coverage for asymptomatic patients
After months of consideration, CMS has proposed sweeping changes to its TAVR coverage policies. The agency is accepting public comments until July 15.
How supplement use changed over decades
Medicare-funded weight loss, Utah's lower drunk driving limit, and more health news from Morning Rounds
Holland & Knight Health Dose: June 16, 2026 | Insights
The Centers for Medicare & Medicaid Services (CMS) will establish the Office of Health Technology and Products (OHTP) to oversee healthcare technology modernization.
Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as “bold, creative plans” led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
CMS Requests Information on Review of the Essential Health Benefits Framework
What: On June 15, 2026, the Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) seeking public input to support a comprehensive review of the Essential Health Benefits (EHB) framework and the requirement
CMS creates new health tech office to lead interoperability efforts, digital products
The Centers for Medicare and Medicaid Services (CMS) aims to play a bigger role in health tech modernization efforts, including leading interoperability initiatives. | The Centers for Medicare and Medicaid Services (CMS) aims to play a bigger role in health tech modernization efforts, including leading interoperability initiatives.
CMS, HHS request information for potential modifications to ACA Essential Health Benefits
The Centers for Medicare & Medicaid Services and the Department of Health and Human Services issued a request for information (https://www.federalregister.gov/documents/2026/06/15/2026-11994/request-for-information-comprehensive-review-of-the-essential-health-benefits-framework-and-typical) June 12 seeking input on CMS’ review of the Affordable Care Act’s Essential Health Benefits framework and the requirement that the scope of EHBs is equal to the scope of benefits provided under a standard employer plan.
Medicare Enrollment 101: What You Need to Know
The federal health insurance program can be complicated. Here’s how to start, and where to find help.
Changes to the NC State Health Plan will make retirees pay more. Here’s what it means for you
Retirees on the state’s Medicare Advantage plans will pay more for hospital stays, specialist visits and some drugs next year.
Michigan nursing home cited 18 times for health violations in past year
Medicare gave the facility two stars out of five, based on the most-recent state inspection, completed in March, and the previous three years of complaint- and infection control-related inspections.
Seniors with UnitedHealth Medicare Advantage may lose access to Fairview hospitals, clinics
Once again, the Minneapolis-based health system notified 11,000 patients by email this week about changes that would happen in 2027. The Minnetonka-based insurer calls the message a “scare tactic.”
CMS Moratorium Could Spur Hospice, Home Health M&A
A current moratorium on home health and hospice Medicare enrollment could increase demand for mergers and acquisitions in the short term. The U.S. Centers
Health Brief: Watchdog flags Medicare Advantage denials
Plus: New polling shows how health care could shape the midterms
CMS approves budget for GO-NORTH, the state’s federally funded rural health program
The Centers for Medicare and Medicaid Services approved New Hampshire’s spending plan for a large tranche of federal money that will go toward rural health initiatives, state officials announced Thursday.
CMS announces Office of Health Technology and Products
The Centers for Medicare & Medicaid Services June 10 announced the establishment of a new Office of Health Technology and Products.
Big Medicare Insurers Often Deny Requests for Nursing-Home Stays
A new federal investigation shows some of the biggest insurers had some of the highest denial rates.
Social Security is Facing a Political Crisis
On Tuesday the Social Security Trustees released their latest report on the system’s finances. The numbers didn’t change much: Unless something is done, the Old Age Survivors and Disability Insurance (OASDI) program, Social Security’s official name, will be unable to pay full benefits starting in either 2032 or 2034, depending on some technical issues. That’s not far away: If the Trustees are right, the prospect of a Social Security crisis will loom over the next presidential administration. It’s important to understand, however, the nature of the looming crisis. It won’t be an economic crisis. It won’t even be a serious fiscal crisis. Whatever you may have heard, Social Security isn’t in danger of going bankrupt. What we’re facing, instead, is potential political crisis. Congress and the White House could easily take action to sustain America’s retirement system. But given the current state of our politics, there’s no guarantee that they will. There is a widespread misunderstanding of how Social Security works. While Social Security was designed to look like a pension fund, it isn’t. A pension fund pays benefits out of a stock of assets it has accumulated over time. In contrast, Social Security operates as a government transfer program, like food stamps or Medicaid. Now, unlike food stamps — but like the highway trust fund — Social Security is on paper supported by a dedicated tax, the payroll tax, that is assigned to that program. But I say “on paper” because from an economic point of view assigning the payroll tax to Social Security is just an accounting convention. What matters for the U.S. economy is the overall balance between government spending and government revenue, not the difference between one type of spending and one source of revenue. So there’s no inherent economic significance to the fact that by 2034 payroll tax receipts will be insufficient to cover promised benefits. There is, however, a legislative issue. As long as the Social Security Administration can pay benefits out of payroll taxes and its cash reserve, there’s no need for Congress to vote each year to authorize benefits — they just keep going out until further notice. However, once those resources become insufficient, benefits will fall —by 17 percent according to the Trustees — unless Congress passes new legislation that “tops up” Social Security’s finances. Yet the current administration and Republican party are such extremists that there is a real risk that Social Security will be held hostage on behalf of their goals. If this should come to pass, the hostage-takers will claim that shoring up Social Security is unaffordable. Right on cue, Mike Johnson, the Trump-sycophant Speaker of the House, declared on Monday that “entitlement programs” like Social Security “have to be adjusted and fixed,” and that Republicans will introduce a plan to that effect next year. But this is a ploy, because while the cost of maintaining Social Security benefits at their promised level isn’t trivial, it is in fact affordable. According to the Trustees’ report, the actuarial balance of OASDI up through 2050 — the amount of additional funds it would need to keep paying full benefits for the next 25 years — is 1.06 percent of GDP. To put that number in perspective, the Trump administration proposes increasing military spending next year by $420 billion, equivalent to about 1.4 percent of GDP – without any discussion of whether that’s affordable Yet how did we get to the point where Social Security will need to be topped up? The main answer is that we have an aging population, with a growing ratio of retirees collecting benefits to workers paying into the system: Trump’s anti-immigration policies are making this problem worse. According to the Trustees’ report, lower immigration will deepen Social Security’s financial hole because many immigrants are working-age adults who will pay into the system for decades before they collect benefits. In fact, this problem may be much bigger than the report acknowledges: The report’s baseline assumption is that we’ll have net immigration of almost 1.2 million people a year, and even the pessimistic case assumes 750,000 a year. Meanwhile actual net immigration has already been cut far below that — and may now be negative. Moreover, Social Security is being financially damaged by growing income inequality in America. Payroll taxes are levied only on wages up to $184,500, and they don’t touch capital income. With the distribution of income increasingly shifting from labor to capital, as well as becoming more unequal among wage-earners, revenue from the Social Security payroll tax has been falling as a share of national income. From 1990 to 2024, it fell from 5.02 percent of gross domestic income to 4.46 percent. Which brings me to the question that, these days, we ask about everything: How might Social Security be affected by the advent of AI? A short answer: If, as many of us fear, AI accelerates rising income inequality, it will further reduce the payroll tax receipts that currently pay for Social Security and further endanger its finances. On the other hand, if AI, as its advocates promise, leads to faster economic growth, it will increase the potential tax base that could and should be used to support Social Security and other social insurance programs. But to take advantage of that larger base, we’ll have to get serious about taxing wealth and capital income. Is Social Security in trouble? Yes, but only because of the way its financing is currently structured — a structure that no longer works well because our society and economy have become so unequal. Moreover, Trump’s immigration policies are further endangering its already deteriorating financial condition. So don’t believe Republicans’ gaslighting that it will be necessary to cut Social Security benefits. All that is necessary to preserve Social Security is political will to raise taxes on the wealthy and a sensible immigration policy. MUSICAL CODA Actually 67 under current law.
Radiologists tout support for bipartisan bill to address interventional ‘payment crisis’
The Promoting Fairness for Medicare Providers Act seeks to smooth out reimbursement differences between office- and hospital-based settings.
Medicare Advantage plans denied prior authorization requests at unusually high rates, HHS report finds
UnitedHealthcare, CVS Health and Humana had the highest denial rates for long-term care requests, according to a report from the agency’s inspector general.
Scammers are targeting online searches for Medicare health insurance
Searching online for Medicare health insurance could lead users to scam websites designed to steal personal information.
Humana To Divest End-Of-Life Care Business For $900 Million
Humana, one of the largest U.S. sellers of Medicare Advantage insurance for older adults, will divest its stake in a provider of end-of-life services for $900 million.
Federal health care cuts threaten Michigan hospitals. It’s time for Medicare for All.
Community hospitals are there for us at our most vulnerable moments. They’re where our children are born. We rush our loved ones to the local ER, post-stroke, when every second counts. Unfortunately, the federal government has left communities across Michigan at risk of losing that lifesaving care. That’s why working people are joining forces to call for change, and to build a society that puts patients before profits, with Medicare for All.
From The Daily: For a different kind of politics, vote El-Sayed on August 4
From a policy standpoint, El-Sayed’s broad, sweeping vision is best for all Michiganders. He is the only candidate who is running to pass Medicare for All, and his public health background equips him with the necessary experience and vision to improve the U.S. healthcare system.
UHC Medicare Advantage patients set to lose in-network access to Brown Health physicians
Rhode Islanders insured under UnitedHealthcare’s Medicare Advantage plans may once again have to find new doctors amid contract negotiations between the insurer and Brown University Health.
Searching for health insurance? Keep scrolling to avoid government impersonators
When you search online, do you click the first result you see? You’re not alone. But that habit could cost you — especially if you’re searching for health insurance or government healthcare programs like Medicare.
Main Line Health, United Healthcare contract dispute could leave 32,000 patients out-of-network later this month
The nonprofit health system's current UnitedHealthcare contracts for employer-sponsored insurance and Medicare Advantage plans expire June 30. The plans cover 32,000 Main Line patients.
Medicare Advantage Continues To Grow Despite Health Insurer Exits
Medicare Advantage is the choice of 55% of eligible beneficiaries for health insurance for Americans 65 and older.
Area healthcare workers rally at ‘Health Cuts Kill’ demonstration
Speakers spoke out against cuts to medicare and medicaid, as well as other federal funding reductions that, they say, will have devastating impacts.
NC State Health Plan board approves Medicare Advantage plan benefit changes despite retiree concerns
Retirees on the state's Medicare Advantage will face higher out-of-pocket maximums next year, as well as higher copays for many medical services.
UT Health San Antonio named among Becker’s Top 50 ACOs to Know
UT Health San Antonio was recently named as one of the “Top 50 ACOs to Know” by Becker’s Hospital Review, a national recognition of its commitment to improving outcomes for traditional Medicare patients in the community.
State Health Plan to vote on price hikes for older state workers, retirees
People on the Medicare Advantage version of the State Health Plan could soon face higher drug prices, copays and deductibles as the state struggles to pay for rising healthcare costs.