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CMS Selects 15 Drugs for Negotiation Program
CMS lines up 15 drugs for price negotiations effective in 2028 (third cycle).

ntjames5
Feb 101 min read
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States' Medical Advocate Associations Set 2026 Priorities
States' medical associations are gearing up for aggressive policy initiatives in 2026.

ntjames5
Jan 261 min read
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Insurance Giants Tighten Grip on US Market
Giant health insurers dominate the US markets in most metropolitan areas.

ntjames5
Jan 201 min read
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NC Cannot Easily Verify New Medicaid Eligibility Requirements
New Medicaid eligibility verification requirements will burden NC state and county administrators.

ntjames5
Jan 192 min read
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Virginia get $189 million in Fed Grants for Rural Healthcare
Finally, Virginia gets fed grant for rural healthcare.

ntjames5
Jan 111 min read
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How Much More Would Your Health Insurance Cost If . . .
KFF published a health insurance personal calculator based on getting ACA Enhanced Premium Tax Credit or not getting them.

ntjames5
Oct 31, 20251 min read
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Dental Collections and the Big Beautiful Bill
The new paradigm for Medicaid eligibility may require dentists to research patients' work history before getting reimbursed. Collection may depend upon it.

ntjames5
Oct 31, 20252 min read
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NC Governor Announces $6.5 billion in Medical Debt Erased
NC just wrote-off $6.5 billion in medical debt for the poor and middle classes.

ntjames5
Oct 17, 20251 min read
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Most Americans: Extend ACA Tax Credits
Americans overwhelmingly want ACA tax credits extensions

ntjames5
Oct 3, 20251 min read
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Omnicare Files for Bankruptcy
Omnicare files for bankruptcy protection after near $1 billion judgment for medical fraud.

ntjames5
Oct 3, 20251 min read
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Rural Health Transformation Program: More Details
KFF released details on the Rural Health Transformation Program. Some funds are qualitatively allocated and restrictions apply.

ntjames5
Sep 26, 20252 min read
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FDA Limits Updated COVID-19 Vaccinations
The FDC has limited access to the updated COVID-19 vaccination to selected groups. It is now harder to get the shot.

ntjames5
Aug 29, 20252 min read
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RHTP Funds to Help Rural Communities
RHTP funding to support healthcare facilities in rural communities expires at year's end.

ntjames5
Aug 19, 20251 min read
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Surviving Medicaid Cuts & Serving Patients
Anthony Cunningham has a strategy to better serve clients in the midst of Medicaid funding cuts.

ntjames5
Aug 18, 20251 min read
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Hospice Payment Rate Updated by 2.6% (Final CMS 2026 Annual Rate Change)
CMS FY 2026 Hospice Payment Rate increases by 2.6%.

ntjames5
Aug 1, 20251 min read
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Appraisal Report Changes
Beginning in September 2025, Fannie Mae and Freddie Mac appraisal reports will change.

ntjames5
Jul 30, 20251 min read
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Are MUAHS damaging Senior Care Facilities' Image in North Carolina
Are unregulated multi-unit Assisted Housing with Services (MUAHS) residences harming patients and the reputation of senior care facilities in NC?

ntjames5
Jul 28, 20251 min read
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Valuation Impact of "Big Beautiful Bill"
The recently passed Federal budget could have material impact on business valuations, particularly in healthcare.

ntjames5
Jul 9, 20251 min read
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NC, VA, & SC may get millions from Purdue Pharma Opioid Settlement
Purdue Pharma may pay $7.4 billion to US states in opioid settlement.

ntjames5
Jul 7, 20251 min read
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CMS Audit Alert: Medicare Advantage Plans
CMS is accelerating its audits of MA Plans. Enforcement starts as early as September 2025.

ntjames5
Jun 5, 20251 min read
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