Health Care Redesign – Page 5 – medicarereport.org

Friday, December 5, 2025

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Eileen Cook June 23, 2025June 23, 2025 AHIP, Prior Authorization

AHIP is committed to streamline, simplify and reduce prior authorization

In committing to streamlining, simplifying, and reducing prior authorizations, “health plans are making voluntary commitments to deliver a more seamless

Congressional Budget Office (CBO)Health Care Redesign Legislative Update Medicaid

Eileen Cook June 23, 2025June 23, 2025 CBO, Medicaid, Medicaid Work Requirement, One Big Beautiful Bill Act

A Closer Look at the Medicaid Work Requirement Provisions in the “Big Beautiful Bill”

(By Elizabeth Hinton, Amaya Diana, and Robin Rudowitz for The Kaiser Family Foundation Published: Jun 20, 2025) On May 22,

Affordable Care Act (ACA)CMS Health Care Finance Health Care Redesign

Eileen Cook June 23, 2025June 23, 2025 ACA, CMS, Health Care Redesign, Healthcare Finance

CMS finalizes rule to trim premiums: 5 things to know

(By: Rylee Wilson for Becker’s Hospital Review) CMS is implementing a final rule that will shorten the open enrollment period

Health Care - General Health Care Finance Health Care Redesign Hospice/Home Health Services

Eileen Cook June 19, 2025June 19, 2025 Hospital-at-home program

Hospital-at-home 2.0: Where health systems are headed next

(By: Naomi Diaz for Becker’s Hospital Review) Hospital-at-home programs gained significant traction during the COVID-19 era, spurred by CMS’ 2020

Affordable Care Act (ACA)Employer Healthcare Health Care Finance Health Care Redesign Health Insurance Legislative Update Medicare - General

Eileen Cook June 17, 2025June 17, 2025 ACA, CMS, Healthcare Finance, HR 3911, medicare, Medicare Part E

Medicare Part E (H.R. 3911)

Reps. Jimmy Gomez, D-CA, and Don Beyer, D-VA, introduced the Choose Medicare Act (H.R. 3911). This bill would establish a

Affordable Care Act (ACA)CMS Health Care Finance Health Care Redesign Health Insurance Legislative Update Medicaid Uninsured/Underinsured

Eileen Cook June 17, 2025June 17, 2025 ACA, CMS, Healthcare Costs, Healthcare Finance, Medicaid, One Big Beautiful Bill Act, Uninsured

KFF Health Tracking Poll: Views of the One Big Beautiful Bill

(By Ashley Kirzinger, Lunna Lopes, Marley Presiado, Julian Montalvo III, and Mollyann Brodie for The Kaiser Family Foundation Published: Jun

Affordable Care Act (ACA)CMS Congressional Budget Office (CBO)Health Care Finance Health Care Redesign Legislative Update Medicaid Medicare Advantage

Eileen Cook June 13, 2025June 13, 2025 CBO, Healthcare Costs, Healthcare Finance, Medicaid, Medicare Advantage, Medicare Advantage Quality Bonus payments

Medicare Advantage Quality Bonus Payments Will Total at Least $12.7 Billion in 2025

(By Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 12, 2025) The House-passed

Health Care Finance Health Care Redesign Legislative Update Medicare Advantage

Eileen Cook June 11, 2025June 11, 2025 Healthcare Finance, Medicare Advantage, NO UPCODE Act, One Big Beautiful Bill Act

Insurers oppose Medicare Advantage changes in spending bill

(By: Rylee Wilson for Becker’s Hospital Review) Groups representing insurers are pushing back on proposed tighter regulations on Medicare Advantage

Health Care Redesign Health Insurance Legislative Update Prior Authorization

Eileen Cook June 10, 2025June 10, 2025 Health Insurance, Prior Authorization

Nebraska enacts prior authorization reform law

(By: Jakob Emerson for Becker’s Hospital Review) Nebraska Gov. Jim Pillen has signed the Ensuring Transparency in Prior Authorization Act,

CMS Health Care Finance Health Care Redesign Medicaid Medicare - General Medicare Advantage

Eileen Cook June 6, 2025June 6, 2025 Healthcare Finance, Legistlation, Medicaid, medicare, Medicare Advantage

Senate GOP eyes Medicare reforms amid fiscal pressure

(By: Alan Condon for Becker’s Hospital Review) Senate Republicans are considering targeted Medicare changes — including reforms to Medicare Advantage