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 18 Mar 2026
CMS to install centralized IDR platform for disputes

Coming later this year, the IDR Gateway will provide a centralized platform for managing claims under the independent dispute resolution process. Continue Reading
By
- Jacqueline LaPointe, Executive Editor
News 25 Feb 2026
New report shows NSA is working. So, why are payers, providers still mad?

A new report suggests greater in-network participation since the No Surprises Act, but more work needs to be done to iron out the law's wrinkles for major stakeholders. Continue Reading
By
- Jacqueline LaPointe, Executive Editor

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xtelligent Health IT and EHR

EHR wish list: 5 things providers want from their EHRs in 2026 and beyond
Providers want their EHRs to function as trusted colleagues, not as sources of administrative burden, and innovations in AI, ...
EHR giants have entered the AI arena. What does it mean for startups?
As EHR companies roll out native AI features, health AI startups are doubling down on their expertise, making plans to scale and ...
FTC creates healthcare task force
The task force will share resources and coordinate enforcement across the FTC’s disparate bureaus to better address consumer ...

xtelligent Patient Engagement

42% of patients using AI for health don't follow up with a doctor
Health IT experts stress that AI chatbots should not replace the expertise of a clinician, but KFF data shows half of patients ...
Patients hide their AI use, but docs say they don't have to
A new Zocdoc report shows that patients are curious about using AI to learn more about their health, and doctors say this could ...
Verily launches AI chatbot in increasingly competitive market
Verily joins a number of competitors in its launch of a consumer-facing AI chatbot, Violet, to provide health insights to users.

xtelligent Virtual Healthcare

Home BP telemonitoring clinically effective, but costly
New research shows that enrollment increased overall costs of a home BP telemonitoring program, calling into question its ...
PHTI: Virtual GI solutions boost outcomes, lower costs
PHTI's evaluation shows that virtual GI solutions are living up to the digital health industry's promises of enhancing clinical ...
Fitbit AI coach gains access to medical records in new update
New updates to Fitbit include the ability to link medical records with the wearable device, providing its AI health coach access ...

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