Milliman’s outlook for 2026 follows a year of sustained strain for health systems and provider organizations. Looking ahead, the firm’s actuaries flag six critical issues for 2026 that could reshape how provider organizations define success, resilience, and strategic agility in an increasingly constrained operating environment.
In...
President Trump went big last week, signing an executive order packed with measures to cut prescription drug costs, targeting Medicare price negotiations, PBM broker fees, hospital outpatient drug pricing, and 340B discount enforcement, all aimed at delivering savings for American patients and taxpayers.
Several of the EO’s...
The final rule with comment period updates and revises policies under the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System.
Hospital advocates aren't taking the news lightly since Medicare Part B reimbursement cuts to hospitals for drugs purchased through the 340B...National News
The American Hospital Association (AHA), the Association of American Medical Colleges (AAMC), America's Essential Hospitals, 340B Health, Genesis Healthcare System, Kearny County Hospital and Rutland Regional Medical Center asked a federal court to order the Department of Health and Human Services (DHS) to make effective within 30 days...Arizona News
The 2019 budget requests hits insurer and payer hot spots including ACA Medicare risk corridor payments and cost-sharing reductions, uncompensated care payments, Medicare post-acute care costs and even graduate medical education.
Trump’s proposal outlines his administration’s priorities – Congress makes the decisions.
Budget...
