Policy Watch
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FY 2027 Medicare Outpatient Hospital and ASC Payment Rates
This proposed rule would revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027 based on our continuing experience with these systems. We also describe the changes to the amounts and factors used to determine the…
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CY 2027 Medicare Home Health Payment Rates and V-BP Model Expansion
This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule discusses the behavior adjustment and proposes a temporary behavior adjustment and proposes to recalibrate the case-mix weights…
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UnitedHealthcare Tried to Cancel Remote Monitoring for Most Medicare Patients. Here’s Why It Matters.
In late 2025, UnitedHealthcare announced it would stop covering remote patient monitoring for nearly all conditions starting January 1, 2026 — including chronic hypertension, diabetes, and COPD — affecting millions of Medicare Advantage members. The policy would have limited RPM coverage to only heart failure and pregnancy hypertension patients. The backlash was immediate. Two weeks…