Media · Healthcare News
Payer changes, regulatory updates and industry developments that affect how independent practices get paid — tracked and explained by the WCH team.
Your providers are good. Your equipment is good. Your front desk works hard. And still, every year, a six-figure slice of your revenue disappears into denials, delays, and write-offs you never quit…
Read moreThe law designed to protect patients created a new arbitration economy. That same system is now drawing sustained attention from federal regulators, payers, and Congress — and the stakes for provid…
Read moreWhen a TV doctor and a wellness guru announce a healthcare advisory panel, the question isn't what they'll recommend — it's what the whole exercise actually means.
Read moreThe CMS action against Elevance Health is not just a compliance story — it is a warning shot for every provider and plan operating in the Medicare Advantage ecosystem.
Read moreOn February 23, 2026, the Congressional Budget Office released a projection that reverberated across Washington's policy circles: the Hospital Insurance (HI) Trust Fund — the financial engine behin…
Read moreFor most of its Medicare Advantage history, UnitedHealthcare operated its HMO products with relatively limited gatekeeping — allowing members in many markets to see specialists without first passin…
Read moreDiabetes mellitus affects over 38 million Americans and incurs annual costs exceeding $327 billion. Accurate ICD-10-CM coding is vital for reimbursement, Hierarchical Condition Category (HCC) risk…
Read moreThe Centers for Medicare & Medicaid Services (CMS) released its preliminary 2027 Medicare Advantage Advance Notice on Monday, proposing a minimal base rate update combined with restrictions on how…
Read moreThe healthcare system's promise of accessible mental health services increasingly stands in stark contrast to patients' lived reality. On January 8, 2026, the American Psychiatric Association filed…
Read moreBeginning April 1, 2026, UnitedHealthcare will implement enhanced documentation requirements for the professional component of radiology services performed in conjunction with evaluation and manage…
Read moreAs physician practices across the United States navigate increasingly complex regulatory and enforcement environments, 2026 promises to be a pivotal year from a legal risk perspective. Recent repor…
Read moreWhy This Matters to Your Practice
Read moreA controversial recommendation to increase Medicare physician reimbursement by just 0.5% has sparked debate about whether it's enough to sustain American healthcare
Read moreAs 2025 draws to a close, MetroPlusHealth providers face two critical compliance deadlines that require immediate attention. Both the Annual Model of Care Training and the Annual Cultural Competenc…
Read moreMajor Changes Coming to NYC Employee Health Plan: What Providers Need to Know
Read moreOn November 18, 2025, the Office of Inspector General (OIG) released an audit that sheds light on a billing practice that has long concerned federal healthcare regulators. The report examined wheth…
Read moreA Decade of Primary Care Reform : Quality Gains Amid Persistent Cost Challenges
Read moreMedicare Advantage has become the dominant healthcare delivery model for Medicare-eligible beneficiaries, now covering over 54% of all Medicare enrollees. With that growth has come unprecedented sc…
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