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Regulatory & Legislative Updates
CMS Asks Every State to Re-Examine High-Risk Medicaid Providers
Sonia Reyes
Medicare/Medicaid Updates
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Healthcare Headlines
,
Regulatory & Legislative Updates
| Apr 30, 2026
CMS Administrator Oz directs every state to revalidate high-risk Medicaid providers, with governors notified by May 7 and full plans due within 30 days.
A Once-Daily Epilepsy Pill With No Titration Clears Phase 3
Sonia Reyes
Specialty Medicine
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Neurology & CNS Disorders
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Regulatory & Legislative Updates
| Apr 23, 2026
Azetukalner, a once-daily oral antiseizure agent requiring no titration, reduced focal onset seizures by 53% in phase 3 X-TOLE2, with an NDA filing expected mid-2026
Insurer Claims of Prior Authorization Cutbacks Draw Skepticism From Physicians and Policy Experts
George Padron
Prior Authorization & Appeals
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Medicare/Medicaid Updates
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Coverage Navigation Strategies
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Appeals & Denials Management
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Reimbursement Changes
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Practice Management
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Regulatory & Legislative Updates
| Apr 13, 2026
AHIP says insurers eliminated 6.5M prior authorizations for medical services, but critics call the announcement vague and say prescription drugs were excluded.
Medicare's AI-Driven Prior Authorization Pilot Draws Physician Backlash and a Federal Lawsuit
Sonia Reyes
Prior Authorization & Appeals
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State & Federal Regulations
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Medicare/Medicaid Updates
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Healthcare Headlines
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Policy & Legislation
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Reimbursement Changes
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Practice Management
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Regulatory & Legislative Updates
| Apr 10, 2026
Three months into Medicare's WISeR prior auth pilot, physicians report widespread claim denials, and the EFF has sued CMS for transparency on AI vendor practices.
White-Label Medical Groups Face Regulatory Scrutiny in GLP-1 Telehealth Crackdown
George Padron
Policy & Legislation
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Public Health Initiatives
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Regulatory & Legislative Updates
| Mar 13, 2026
A STAT News investigation finds that four medical groups are linked to 30% of FDA-warned GLP-1 telehealth companies, raising legal and patient safety concerns for payers.
When the Brain Leads, Regulators (Slowly) Follow
Sonia Reyes
Policy & Legislation
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Regulatory & Legislative Updates
| Feb 26, 2026
Brain-computer interface startups face a regulatory impasse: the FDA requires proof of patient benefit, but the field has yet to agree on how to measure it.
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Care Partners Often Overlooked Patient Portal Users
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