ARCHIVE
Recent editions, each with its sources and what to watch.
Editorial cutoff: October 23, 2026, 6:35 a.m. CT.
Quiet day: no section cleared the signal test. Worth a read: the FTC's October 5 price-transparency warning letters, whose release is headlined for hospitals and does not say whether physician practices were covered.
Open the complete daily edition →Editorial cutoff: October 22, 2026, 6:35 a.m. CT.
CMS reminds Medicare billers to verify Medicaid and QMB status before charging cost sharing, as new Medicaid funding limits for certain noncitizens took effect October 1.
Open the complete daily edition →Editorial cutoff: October 21, 2026, 6:36 a.m. CT.
Texas HHSC is revising Medicaid provider enrollment reviews to require consistent ownership and principal disclosures, and Medicare and Medicaid records that do not match can delay enrollment.
Open the complete daily edition →Editorial cutoff: October 20, 2026, 6:40 a.m. CT.
UnitedHealthcare dropped prior authorization on a reported 1,700 codes on October 1, so practices should check their PA workflows against the new lists; Texas Medicaid is reported to have the most codes affected.
Open the complete daily edition →Editorial cutoff: October 19, 2026, 6:35 a.m. CT.
CMS proposed on October 16 that Medicare Advantage plans verify provider directories at least every 90 days starting in contract year 2028, which puts practice data accuracy on the plans' scorecard.
Open the complete daily edition →Editorial cutoff: October 16, 2026, 6:35 a.m. CT.
Only 19% of medical group leaders in an MGMA poll are very confident their practice could recover quickly from a cyberattack, with vendor dependence the top worry.
Open the complete daily edition →Editorial cutoff: October 15, 2026, 9:05 a.m. CT.
BCBSTX set a January 1 date and commercial-member boundary for changes to its Medical Drug Benefit Program; exact drug and benefit mechanics are not claimed.
Open the complete daily edition →