The Trump Administration’s America’s AI Action Plan outlines a strategic framework for integrating artificial intelligence into healthcare, addressing both the opportunities and challenges it presents. By fostering collaboration among stakeholders and establishing regulatory guidelines, the plan aims to enhance patient care, ensure compliance, and drive innovation. This Industry Watch Alert highlights the key implications of the AI Action Plan for healthcare payers and providers, emphasizing the need to align AI advancements with value-based care initiatives.

OpenAI launched a $50 million Community Fund on July 18, 2025, to support nonprofits applying AI in healthcare, education, and community development—emphasizing ethical oversight and community impact.

The Centers for Medicare & Medicaid Services (CMS) has unveiled a proposed physician payment rule aimed at significantly reducing wasteful spending while enhancing quality measures for Medicare beneficiaries. This initiative emphasizes improved chronic disease management and marks a pivotal shift towards value-based care in the healthcare landscape.

On July 1, the U.S. Senate passed a sweeping tax and spending bill with far-reaching consequences for the healthcare industry. With $930 billion in cuts targeting Medicaid and ACA programs, and 11.8 million coverage losses projected, payers and providers face potential disruptions to reimbursement, compliance, and value-based care operations.

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.

Federal agencies have amplified efforts to enforce healthcare price transparency, introducing stringent guidelines and escalating penalties to ensure compliance. These regulatory updates affect hospitals, insurers, and employers nationwide and demand immediate attention and action to remain compliant.