Healthcare payment policy and regulation

Payment policy and regulation encompasses the various rules, guidelines and laws governing healthcare's financial aspects, including Medicare and Medicaid reimbursement rates, medical billing, and claims administration. Payment policy and regulation also plays a critical role in shaping the healthcare landscape, affecting service accessibility and affordability.

Top Stories

News 15 Jan 2026
U.S. healthcare spending reaches $5.3T as utilization rebounds

New CMS data shows another year of accelerated healthcare spending driven by increased utilization, particularly of hospital and physician care. Continue Reading
By
- Jacqueline LaPointe, Executive Editor
Feature 07 Jan 2026
2026: The year of uncertainty for healthcare financial leaders

Coming off a turbulent 2025, the new year raises questions about how change will impact financial operations; a renewed focus on affordability and AI may help leaders navigate 2026. Continue Reading
By
- Jacqueline LaPointe, Executive Editor

1
2
3
4
5

xtelligent Health IT and EHR

Epic denies anticompetitive claims made in Texas AG's suit
In response to the lawsuit, Epic detailed its efforts to advance interoperability and its customizable software that enables ...
KLAS: Ambient speech remains healthcare's top AI use case
Leaders are cautious about higher stakes, care-transformative applications, a new KLAS report shows.
Epic, health systems file lawsuit alleging HIE exploitation
The lawsuit details a scheme in which health organizations are using HIE interoperability frameworks to access and use patient ...

xtelligent Patient Engagement

Consumers turn to AI to fill in healthcare experience gaps
Patients are frustrated with healthcare access and insurance navigation. Is AI the tool that could fill in the gap?
Amazon One Medical unveils Health AI assistant for patients
Amazon One Medical's Health AI assistant is designed to help patients manage their healthcare experiences with the context of ...
How nurses assess care goals to boost patient satisfaction
Nurses at New Jersey's Valley Hospital boosted patient satisfaction by 14% by soliciting and understanding patient care goals.

xtelligent Virtual Healthcare

Study: Telehealth use doesn't increase healthcare utilization
The post-pandemic rise in telehealth adoption did not result in a concurrent increase in outpatient office visits, despite ...
Getting ready for the AI era of virtual healthcare
With AI integration expected to grow in 2026, virtual care leaders must implement AI management strategies to ensure safe, ...
How providers can prepare for the upcoming telehealth cliff
Telehealth flexibilities are set to expire on Jan. 30, 2026, but there are strategies that can help healthcare providers navigate...

Close