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.

On Oct. 20, 2025, U.S. Citizenship and Immigration Services (USCIS) published additional guidance regarding H-1B petitions following the issuance of a proclamation by President Trump on Sept. 19, 2025 that orders prospective employers to pay an additional $100,000 fee for new H-1B petitions for workers abroad, effective Sept. 21, 2025.

On Nov. 6, President Trump announced that Eli Lilly and Novo Nordisk will offer their GLP-1 weight-loss drugs at a significant discount.

ACOI, alongside nearly 300 organizations, is asking Congress to support a new model for ensuring that institutions’ essential scientific research costs are adequately supported.

The deal to end the federal government shutdown that was signed into law on Nov. 12 includes a number of health care extender provisions, including extension of the COVID-era telehealth flexibilities under Medicare. Those flexibilities will end on Jan.

The Centers for Medicare and Medicaid Services (CMS) finalized the CY2026 Medicare Physician Fee Schedule on October 31.

ACOI members can help advocate for advancement of the legislation by asking lawmakers to cosponsor the bill. It takes just a few minutes through the ACOI Action Center to send an email to congressional lawmaker using a template letter that can be personalized.

On October 31, the Centers for Medicare and Medicaid Services (CMS) released the CY2026 Medicare Physician Fee Schedule (MPFS) final rule that could have a significan