Modern Healthcare

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Nominations close April 6 for the awards, which recognize leaders using their medical backgrounds to improve their organizations and the industry.

Providers are seeking to eliminate a 2023 regulation and increase disproportionate hospital share payments.

Kurt Small will take the helm at CareFirst BlueCross BlueShield May 4.

Carelon is reorganizing its executive leadership ahead of President Peter Haytaian's departure in May.

The Centers for Medicare and Medicaid Services sent a memo to hospitals asking them to limit ultra-processed food options for patients.

A mobile healthcare pilot could act as a roadmap for states looking to improve medical access in rural communities and for providers looking to increase revenues. Twenty-two states included mobile medical units in their plans for how to spend part of $50 billion in Rural Healthcare Transformation Program funds. To qualify for the money, the Centers for Medicare and Medicaid Services required states to find ways to expand access to care in underserved areas through innovation. A five-year federal pilot delivering services such as hospital-at-home, oncology and obstetrics through clinics on wheels could be a way to do that. Those are high-demand specialities in many rural communities and are reimbursed at a higher rate than other services, such as primary care.

Qualified Health, Thesis Care, Adonis and VITL recently received funding.

Think of it as preventive medicine for doctor pay. A bipartisan House bill that lawmakers plan to introduce this week would cap annual Medicare physician reimbursement cuts at 2.5% while giving regulators more leeway to set annual payment updates. The Provider Reimbursement Stability Act of 2025 is far from the Medicare payment system overhaul doctors have failed to win for years and it does not include a raise for 2027. But the measure would address underlying aspects of the rate-setting process that medical societies say contributed to pay cuts and modest increases in recent years.

Sage Health is eyeing expansion into underserved markets with high senior populations.