Archives
Telehealth at a Crossroads
Lawmakers and regulators are defining new permanent rules for telehealth coverage, reimbursement, and scope.
Interoperability Gains Ground
Data interoperability standards are becoming mandatory in 2026 as federal rules push to modernize legacy systems.
Drug Pricing Shake-Up
Reform in 2026 spans Medicare’s new drug‑price negotiation and Part D out‑of‑pocket caps, CMMI’s GLOBE and GUARD rebate models tied to international benchmarks, and heightened scrutiny of 340B and rebate practices - all reshaping the future of drug pricing.
Specialists Under the Value Lens
CMS launches two mandatory value-based care models (TEAM and ASM) for specialists forcing them into risk arrangements, emphasizing an expansion of value-based care beyond primary care.
Price Transparency Enforcement
Regulators are stepping up efforts to strengthen compliance with healthcare price transparency requirements and make cost data more accessible and actionable for consumers.
Healthcare M&A Under Fire
Regulators are intensifying antitrust scrutiny of healthcare mergers and private‑equity roll‑ups, reshaping consolidation incentives and competitive dynamics.
OBBBA Rewrites Individual Coverage Rules
OBBBA’s changes to ACA subsidies and premium tax credits are reshaping individual market rules and prompting renewed debate over how to maintain affordability and stability.
Rural Health Transformation
A historic $50B federal program is aimed at expanding access and strengthening rural care systems nationwide.