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Quark leaves wake in lab-made primordial plasma, hinting at a soupy early universe
science5 days ago

Quark leaves wake in lab-made primordial plasma, hinting at a soupy early universe

Physicists at CERN’s Large Hadron Collider (CMS collaboration) detected a subtle dip (less than 1%) in backward particle production as a high-energy quark moved through a tiny droplet of quark-gluon plasma, revealing a wake formed by energy transfer to the primordial fluid. By using Z bosons as clean markers, researchers could isolate this effect and gain a lab-side glimpse into the hot, liquid-like plasma that filled the early universe microseconds after the Big Bang.

via Yahoo|
#cms#large-hadron-collider#quark-gluon-plasma
Medicare to Negotiate Botox and 14 Other High-Cost Drugs This Year
health28 days ago

Medicare to Negotiate Botox and 14 Other High-Cost Drugs This Year

Medicare announced the next round of price negotiations under the Inflation Reduction Act, targeting Botox plus 14 other expensive drugs (including Trulicity) used for cancer, diabetes, Crohn’s disease, ulcerative colitis, and rheumatoid arthritis. The negotiated prices, affecting about $27 billion in Medicare Part B and Part D spending, will take effect in 2028. Drugmakers can opt out, but historically none have; Part B covers clinic-administered drugs and Part D covers prescriptions.

via NBC News|
#botox#cms#drug-pricing
politics28 days ago

Trump’s 2027 Medicare Advantage bump signals austerity for private plans

The Trump administration proposes a 2027 pay increase for Medicare Advantage of less than 1% (about $700 million), a smaller boost than insurers hoped and aimed at stabilizing payments while curbing upcoding. Insurers warn the modest increase could force benefit cuts or higher seniors’ premiums, while CMS argues the measure is a right-sizing effort to reduce waste; a final rate decision in spring will trigger renewed lobbying from industry and policymakers.

via Politico|
#cms#medicare-advantage#medicare-payments
Health Tech 2.0 Goes AI-First, Redefining Value and Growth
business1 month ago

Health Tech 2.0 Goes AI-First, Redefining Value and Growth

2025 marked a turning point for health tech as six IPOs added $36.6B and Health Tech 2.0 firms posted profitable growth, narrowing the trust gap with cloud peers. The report introduces the Health AI X Factor — four pillars (continuous velocity, durable revenue, AI productivity, and platform expansion) — to explain why a subset of Health AI companies can command premium valuations by scaling faster and more durably than prior generations. Seven 2026 predictions cover payer-provider AI adoption, clinician-in-the-loop clinical AI, CMS experiments with AI payment codes, cash-pay AI adoption, a budding health AI data infrastructure, AI-native value-based care, and the rise of digital CROs that could reshape pharma R&D.Private markets show stronger deal sizes and AI-driven funding shifts, suggesting a lasting, if not bubble-like, transformation toward AI-enabled healthcare growth and infrastructure.

via Bessemer Venture Partners|
#business#cms#digital-health
Subsidy Sunset Drives 1.4 Million Drop in ACA Enrollments for 2026
health1 month ago

Subsidy Sunset Drives 1.4 Million Drop in ACA Enrollments for 2026

CMS data show 1.4 million fewer people enrolled in ACA marketplace plans in January 2026 than January 2025, as the expiration of enhanced subsidies raises costs for low- and middle-income Americans; declines are concentrated in the South and Southeast, with some states like Texas and California bucking the trend. Experts warn higher premiums and potential loss of coverage as households face bills, and analysts expect enrollment to fall further amid continued political battles over subsidies.

via Business Insider|
#aca#cms#enrollment
Trump touts record $50B plan to overhaul rural health care
politics1 month ago

Trump touts record $50B plan to overhaul rural health care

President Trump highlighted a historic $50 billion, five-year Rural Health Transformation Program under the Working Families Tax Cuts Act, with CMS funding awards to all 50 states to modernize rural health care, expand the workforce, facilities, and innovative payment models, while continuing price-transparency and drug-pricing efforts and advocating broader reform.

via The White House (.gov)|
#cms#politics#price-transparency
Medicare to Narrow Telehealth Coverage After Jan 2026
health1 month ago

Medicare to Narrow Telehealth Coverage After Jan 2026

Medicare will end broad telehealth coverage on Jan. 31, 2026, generally requiring beneficiaries to be in a medical facility in a rural area for telehealth visits, with exceptions for ESRD home dialysis, acute-stroke evaluations, and certain home-based behavioral health services. Through Jan. 30, 2026, telehealth remains nationwide; after the deadline, many seniors may need in-person visits or rely on a Medicare Advantage plan that continues coverage in some cases.

via The Motley Fool|
#cms#coverage#health
Grassley accuses UnitedHealth of turning Medicare Advantage risk scoring into a profit engine
politics1 month ago

Grassley accuses UnitedHealth of turning Medicare Advantage risk scoring into a profit engine

A Senate majority staff report based on more than 50,000 pages alleges UnitedHealth Group uses aggressive diagnosis capture, in-home health risk assessments, and coding guidance to inflate Medicare Advantage risk scores and in turn receive higher CMS payments. The findings describe a specialized workforce and data capabilities that adapt to CMS crackdowns, with examples like diagnoses for opioid dependence, alcohol use disorders, and dementia, and warn that the company sells its criteria to other MAOs, potentially impacting taxpayers and the integrity of the MA program. The report follows Grassley’s long history of MA oversight and calls for continued scrutiny of risk-adjustment practices.

via Grassley.senate.gov|
#cms#grassley#medicare-advantage
healthcare5 months ago

CMS Unveils $50 Billion Initiative to Transform Rural Healthcare

The Centers for Medicare & Medicaid Services (CMS) announced a $50 billion Rural Health Transformation Program to improve healthcare infrastructure, access, and quality in rural America, with applications due by November 5, 2025, and funding distributed over five years to support innovative, sustainable, and tech-enabled healthcare solutions.

via Centers for Medicare & Medicaid Services | CMS (.gov)|
#cms#dollar50-billion#healthcare