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Weekly Update: 2026 Medicare reimbursement rates | Wegovy covered by Medicaid | $3B dementia institute | Telehealth ketamine

News You Need to Know Today
Weekly Update: 2026 Medicare reimbursement rates | Wegovy covered by Medicaid | $3B dementia institute | Telehealth ketamine
Sunday, November 9, 2025
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This Week’s News

CMS 2026 physician fee schedule emphasizes chronic disease management, includes pay raise

The Centers for Medicare & Medicaid Services announced a 3.26% reimbursement increase for all providers, with those enrolled in alternative payment models seeing a higher rise.

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Medicare Money
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CMS 2026 physician fee schedule emphasizes chronic disease management, includes pay raise

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Medicare Money
The Centers for Medicare & Medicaid Services announced a 3.26% reimbursement increase for all providers, with those enrolled in alternative payment models seeing a higher rise.
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UnitedHealthcare reimburses its Optum providers at a 17% premium, study finds

The findings are from research conducted by the Commonwealth Fund that looked at nationwide provider reimbursement data. While the sample size is small, it shows the insurer tends to favor its own doctors.

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UnitedHealthcare reimburses its Optum providers at a 17% premium, study finds

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Optum UnitedHealthcare UnitedHealth Group HQ
The findings are from research conducted by the Commonwealth Fund that looked at nationwide provider reimbursement data. While the sample size is small, it shows the insurer tends to favor its own doctors.
READ MORE >

GLP-1 weight loss drugs will now be covered by Medicare and Medicaid—and available at a discount through TrumpRx

Novo Nordisk and Eli Lilly have agreed to sell their popular Wegovy and Zepbound injectables through TrumpRx.gov for a discounted rate, as the White House promises that Medicaid and Medicare plans will begin covering the costs. 

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TrumpRx.gov Screenshot
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GLP-1 weight loss drugs will now be covered by Medicare and Medicaid—and available at a discount through TrumpRx

Share on Twitter Share on Facebook Share on Linkedin
TrumpRx.gov Screenshot
Novo Nordisk and Eli Lilly have agreed to sell their popular Wegovy and Zepbound injectables through TrumpRx.gov for a discounted rate, as the White House promises that Medicaid and Medicare plans will begin covering the costs. 
READ MORE >

California chooses Innovaccer's AI to improve Medicaid outcomes for vulnerable populations

The company will analyze claims data from over 2 million people enrolled in Medi-Cal. The data will be used for compliance reporting and to improve patient care coordination.

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California State Capitol Sacramento
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California chooses Innovaccer's AI to improve Medicaid outcomes for vulnerable populations

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California State Capitol Sacramento
The company will analyze claims data from over 2 million people enrolled in Medi-Cal. The data will be used for compliance reporting and to improve patient care coordination.
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Texas voters approve $3B to establish Dementia Prevention and Research Institute

Proposition 14 passed by an overwhelming 69% of the vote, with residents approving an amendment to the state constitution that makes the Dementia Prevention and Research Institute of Texas (DPRIT) official. The new group will fund research into Alzheimer's, Parkinson's and more.

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Texas voters approve $3B to establish Dementia Prevention and Research Institute

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alzheimer's disease dementia brain imaging
Proposition 14 passed by an overwhelming 69% of the vote, with residents approving an amendment to the state constitution that makes the Dementia Prevention and Research Institute of Texas (DPRIT) official. The new group will fund research into Alzheimer's, Parkinson's and more.
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Nurse charged with allegedly replacing hospice patient’s oxycodone with cleaning chemicals

Lori Robertson, a registered nurse, faces one count of tampering with a consumer product. She was arrested by federal authorities, accused of endangering her hospice patient with dementia.

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Shot Syringe
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Nurse charged with allegedly replacing hospice patient’s oxycodone with cleaning chemicals

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Shot Syringe
Lori Robertson, a registered nurse, faces one count of tampering with a consumer product. She was arrested by federal authorities, accused of endangering her hospice patient with dementia.
READ MORE >

Telehealth ketamine service sued after patient dies of overdose

Mindbloom, a telemedicine company that provides ketamine for depression and anxiety as part of a treatment program, is accused of negligence in the death of Philip Ward. But the facts leading up to his overdose are in dispute. 

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Telehealth ketamine service sued after patient dies of overdose

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candles funeral dead respect
Mindbloom, a telemedicine company that provides ketamine for depression and anxiety as part of a treatment program, is accused of negligence in the death of Philip Ward. But the facts leading up to his overdose are in dispute. 
READ MORE >

Judge protects New York ‘shield’ rule against Texas abortion lawsuit

A federal judge dismissed a lawsuit from Texas Attorney General Ken Paxton, who sought an injunction against abortion medications being shipped to women in his state.

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Statue of Liberty New York City healthcare
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Judge protects New York ‘shield’ rule against Texas abortion lawsuit

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Statue of Liberty New York City healthcare
A federal judge dismissed a lawsuit from Texas Attorney General Ken Paxton, who sought an injunction against abortion medications being shipped to women in his state.
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Apology letters sent to 531 patients after MaineHealth declares them dead

The initial condolences were mailed out as a result of a computer error, a hospital spokesperson said. The recipients were never marked as deceased on any official records. 

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mail-1048452_960_720.jpg
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Apology letters sent to 531 patients after MaineHealth declares them dead

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mail-1048452_960_720.jpg
The initial condolences were mailed out as a result of a computer error, a hospital spokesperson said. The recipients were never marked as deceased on any official records. 
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Report: CMS sent states lists of names for impromptu Medicaid eligibility check

President Donald Trump’s administration wants states to check to see if hundreds of thousands of residents are enrolled in Medicaid illegally. CMS provided a specific list of people it suspects are undocumented.

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Report: CMS sent states lists of names for impromptu Medicaid eligibility check

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President Donald Trump’s administration wants states to check to see if hundreds of thousands of residents are enrolled in Medicaid illegally. CMS provided a specific list of people it suspects are undocumented.
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