Medical Economics January 8, 2026
Richard Payerchin Fact checked by: Keith A. Reynolds

Key Takeaways

  • Congressional leaders are addressing healthcare affordability, focusing on ACA subsidies and rising premiums, with hearings involving health insurance CEOs to explore cost-reduction solutions.
  • Medicare’s outdated payment systems and limited home infusion coverage are identified as areas needing reform to improve patient access and care quality.
  • The WISeR Model by CMS introduces prior authorization requirements, raising concerns about potential delays in necessary care and its impact on traditional Medicare.

Health insurance CEOs to be called in later this month; advocates call for changes to Medicare policies.

In 2026, congressional leaders are taking up legislation that will affect the nation’s public and private health insurance programs.

Americans need health care, and a way to pay for it, but...

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Topics: ACA (Affordable Care Act), Congress / White House, Govt Agencies, Insurance
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