News from ACOI

Effective January 1, 2026, Anthem participating facilities that use non-participating (out-of-network) care providers and who provide care to Anthem members in an inpatient or outpatient setting will risk being subject to corrective measures including a 10 percent payment penalty or termination f

On December 5, the Centers for Disease Control and Prevention's (CDC) Advisory Committee on Immunization Practices (ACIP) voted to drop the recommendation for a universal birth hepatitis B vaccine dose and replaced it with a recommendation that th

A new voluntary Medicare payment model set to launch July 1, 2026, will test technology-supported care to improve health and prevent and manage chronic disease.

A new bill introduced by Reps. Julie Johnson (D-TX) and Mike Kennedy (R-UT) would limit prescription drug prior authorizations used by Medicare Advantage and stand-alone Part D plans to once per year for patients with autoimmune diseases or blood disorders.

The Centers for Medicare and Medicaid Services (CMS) has launched a new Medicare value-based payment model that supports evidence-based, whole-person care approaches, including functional or lifestyle medicine interventions.