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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

How In-Home Care Supports Healthy Aging at Home

by HITC Staff 03/02/2026 Leave a Comment

How In-Home Care Supports Healthy Aging at Home

With age comes new challenges and opportunities. As people grow older, a desire to stay in place is common; individuals want to remain in familiar surroundings as they grow older. That is why in-home care services are so important and needed, as they provide people the support they need to accomplish this goal. These services promote dignity, comfort, and independence by providing assistance with daily activities and companionship. Promoting Independence and Confidence Senior home care in
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CMS Updates MIPS for 2026: Administrative Claims, TEFCA Bonuses, and AI Safety Measures

by Renée Freyer, Sr. Manager of Clinician Services MIPS VBC at Verana Health 02/24/2026 Leave a Comment

CMS Updates MIPS for 2026: Administrative Claims, TEFCA Bonuses, and AI Safety Measures

MIPS (Merit-based Incentive Payment System), a Medicare program that rewards clinicians for delivering high-quality, cost-efficient care, is by nature an evolving entity.  Much the way healthcare continually changes as new knowledge, treatments, and technologies modify past practices, MIPS is ever-changing, with program updates, revisions, and new requirements.  While these changes are well-intentioned and support value-based healthcare, they don’t necessarily make it easier for
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6 Ways Hospitals Can Structure CMS TEAM Collaboration Agreements with Specialists

by Theresa Hush, co-founder and CEO of Roji Health Intelligence 02/19/2026 Leave a Comment

6 Ways Hospitals Can Structure CMS TEAM Collaboration Agreements with Specialists

As the Centers for Medicare & Medicaid Services moves forward with the Transforming Episode Accountability Model (TEAM), hospitals are taking on financial accountability for Medicare’s most complex and costly surgical episodes. Hospitals that don’t take action to achieve better patient outcomes could find themselves owing Medicare money.   While TEAM shifts meaningful risk to hospitals, it also creates an opportunity often missing in value-based care: true collaboration with
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4 out of 5 Rural Texans Face a “Life-Threatening” Chronic Disease Crisis, PCCI Data Shows

by Jasmine Pennic 02/19/2026 Leave a Comment

4 out of 5 Rural Texans Face a "Life-Threatening" Chronic Disease Crisis, PCCI Data Shows

What You Should Know The Finding: An analysis using the Parkland Center for Clinical Innovation’s (PCCI) Community Vulnerability Compass (CVC) reveals that four out of five rural Texans live in communities highly vulnerable to life-threatening chronic diseases.The Distinction: Rural vulnerability is structurally different from urban vulnerability. While urban challenges are often driven by environmental exposures and behavioral risks, rural vulnerability is deeply tied to entrenched clinical
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TrumpRx.gov Launches with 80% Discounts on Ozempic and Wegovy

by Syed Hamza Sohail 02/05/2026 Leave a Comment

TrumpRx.gov Launches with 80% Discounts on Ozempic and Wegovy

What You Should Know The Launch: President Trump has officially launched TrumpRx.gov, a consumer-facing digital portal that allows patients to access "Most-Favored-Nation" (MFN) pricing on high-cost drugs. The initial rollout features deals with five major manufacturers: AstraZeneca, Eli Lilly, EMD Serono, Novo Nordisk, and Pfizer.The Prices: The platform delivers massive price cuts on blockbuster GLP-1 weight loss and diabetes drugs. Ozempic and Wegovy will drop from over $1,000/month to as
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The ‘Volume’ Era is Dead: Humana Data Proves Value-Based Care Cuts Admissions by 24%

by Fred Pennic 02/05/2026 Leave a Comment

The "Volume" Era is Dead: Humana Data Shows Value-Based Care Cuts Hospital Admissions by 24%

What You Should Know The Report: Humana’s newly released Value-Based Care By the Numbers Report, reveals that Medicare Advantage members in value-based care (VBC) arrangements are seeing significantly better outcomes than those in traditional models.The Data: The impact is measurable and massive: VBC patients experienced 24.3% fewer hospital admissions and 13.4% fewer emergency room visits in 2024.The Shift: The report validates the industry's transition from "reactive" fee-for-service
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Price Reset 2026: How Trump’s ‘Great Healthcare Plan’ Slashes Drug Costs at Trumprx.gov

by Fred Pennic 01/15/2026 Leave a Comment

Trump Unveils 'The Great Healthcare Plan': A Global Price-Matching Pivot to Settle the Affordability Crisis

What You Should Know - Today, President Donald J. Trump has launched "The Great Healthcare Plan," a sweeping initiative designed to lower prescription drug costs to the lowest international levels and reduce insurance premiums by over 10%. - The “Great Healthcare Plan” shifts taxpayer-funded subsidies away from "big insurance companies" to be delivered directly to the American people, while mandating unprecedented "Plain-English" transparency standards for every insurer and provider
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AMA’s Strategic Push for Permanent Medicare Telehealth Reform

by Fred Pennic 01/05/2026 Leave a Comment

AMA Names 9 Organizations for EHR Research Grant Program

What You Should Know - The AMA is urging Congress to pass permanent authorization of Medicare telehealth services before the current waiver expires on January 30, 2026.  - This advocacy follows a "tumultuous" 2025 in which a 43-day government shutdown caused a 24% national drop in fee-for-service telemedicine visits, demonstrating the extreme sensitivity of patient access to legislative lapses. The Economic Battle: Challenging CBO Scoring The crux of the AMA’s issue brief is a
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Avoiding the Telemedicine Cliff: Why the DEA Extended Prescribing Rules Through 2026

by Fred Pennic 01/02/2026 Leave a Comment

HHS Launches EHR Innovations for Improving Hypertension Challenge_HHS Funded Health Care Innovation Award Projects to Watch

What You Should Know:  - In a significant move for the "tele-prescribing" landscape, the U.S. Department of Health and Human Services (HHS) and the Drug Enforcement Administration (DEA) have announced a fourth temporary extension of telemedicine flexibilities.  - This extension allows practitioners to prescribe controlled medications—including Schedule II–V drugs—via audio-video encounters without a prior in-person medical evaluation through December 31, 2026. A Transitional
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The MAHA Paradox: How Medical Device Tariffs Undermine “Make America Healthy Again

by Kinsey Fabrizio, President, Consumer Technology Association 12/31/2025 Leave a Comment

The MAHA Paradox: How Medical Device Tariffs Undermine "Make America Healthy Again

The Trump Administration’s Make America Healthy Again agenda recognizes a simple truth: the best way to improve our health is to empower people to understand and help manage their own care. Affordable medical devices make that possible. Every day, Americans use this technology to check their blood pressure, track sleep, monitor heart rhythms, manage hearing loss, and more. These devices bring care into our homes, extend the reach of doctors, and help millions of people stay healthy
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