Voluntary Prior Authorization Reform Initiative

In June 2025, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced a new industry-wide initiative to streamline prior authorization processes. Led by HHS Secretary Robert F. Kennedy, Jr. and CMS Administrator Dr. Mehmet Oz, the roundtable brought together executives from major payers to formalize a set of voluntary commitments aimed at improving access to care and reducing administrative burden.

The effort is intended to advance value-based care goals by promoting interoperability, increasing process transparency, and reducing avoidable delays that contribute to inefficiencies and unnecessary costs across the healthcare continuum.

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HHS Reconstitutes CDC’s Vaccine Advisory Committee

On June 9, 2025, HHS removed all members of the CDC’s vaccine advisory committee (ACIP), citing the need to restore public trust and eliminate conflicts of interest. Learn what this change could mean for healthcare payers, providers, and immunization policy in the U.S.

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Executive Order on Price Transparency Act

On February 25, 2025, the Trump administration announced an Executive Order focused on enhancing price transparency in healthcare, a critical step toward empowering patients with clear and actionable pricing information. This initiative is expected to foster competition among providers and payers, ultimately aiming to reduce healthcare costs and improve patient access to care.

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Strategic Cost Containment

Strategies for balancing cost containment and quality care in healthcare. Explore methods executives can employ to optimize resources, enhance efficiency, and sustain financial stability while delivering exceptional patient outcomes.

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Medicare and Medicaid Updates for 2025

On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule introducing significant policy and technical changes to the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program (Part D), Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE) for Contract Year 2026.

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