April 15, 2026

Chronic Care Cost-Sharing Targeted

A new bill would eliminate Medicare cost-sharing on care coordination services. Supporters argue the cost-sharing on the services creates financial barriers to deploying such services for many. They also argue charging seniors for the behind-the-scenes services is confusing. Further, the services have documented savings, but utilization is low due to the cost-sharing impediment. About 40 healthcare and patient groups have endorsed the measure.

#chroniccare #medicare

https://www.fiercehealthcare.com/providers/providers-back-new-bipartisan-bill-eliminating-medicare-chronic-care-management-cost

Wegovy Gets Boost

GoodRx is making available the new higher 7.2 mg dose of Wegovy for weight loss at $399 per month. This is a boost to embattled drug maker Novo Nordisk, which has lost major market share in the weight-loss drug market to Eli Lilly.

#weightlossdrugs #drugpricing

https://www.fiercehealthcare.com/telehealth/goodrx-launches-72-mg-wegovy-dose-self-pay-patients-399-month

Most Physician Pay Up

Average physician pay rose about 3% between 2024 and 2025, from $374,000 to $386,000.

#providers #healthcare

https://www.fiercehealthcare.com/providers/physician-compensation-3-2025-not-all-specialties-saw-raises-medscape

Wakely: Exchange Enrollment Could Fall Further

Wakely Consulting examined latest enrollment figures and found that enrollment declines could become substantial. Enrollment had already dipped over 1 million from 2025 to 2026, but Wakely says it could fall by 17% to 26% on average more due to unpaid premiums and ongoing attrition. Just 85.9% of enrollees paid their January premiums. Some states could see higher drops. It also said that shifts to lower cost plans dominated the landscape for 2026 enrollment and that the risk pool could worsen in the program (up by between 2.9% and 6.5%).

#exchanges #healthcare #coverage

https://www.wakely.com/blog/who-paid-and-who-stayed-early-2026enrollment-trends-in-the-individual-market/

— Marc S. Ryan

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