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Shutdown stalemate ends without ACA subsidy extension | CMS AI program to bring prior authorizations to traditional Medicare

News You Need to Know Today
Shutdown stalemate ends without ACA subsidy extension | CMS AI program to bring prior authorizations to traditional Medicare
Tuesday, November 11, 2025
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Today's News and Trends

Republicans win shutdown showdown—Senate agrees to funding deal without ACA subsidy extension

With eight Democrats agreeing to the Republican-backed deal that reverses the firings of federal workers, the Senate now has the 60 votes needed for the bill to advance. The rehirings will include the 1,200 workers fired at the Department of Health and Human Services. 

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Congress Senate Washington D.C. DC
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Republicans win shutdown showdown—Senate agrees to funding deal without ACA subsidy extension

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Congress Senate Washington D.C. DC
With eight Democrats agreeing to the Republican-backed deal that reverses the firings of federal workers, the Senate now has the 60 votes needed for the bill to advance. The rehirings will include the 1,200 workers fired at the Department of Health and Human Services. 
READ MORE >

CMS’ AI program to add prior authorizations to traditional Medicare; new bill aims to stop it

President Donald Trump’s administration argues that their “WISeR” model will eliminate unnecessary testing and save Medicare money. But eight Democrats opposing it think it will only bring Medicare Advantage chaos to Part A and Part B.

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Medicare money payment
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CMS’ AI program to add prior authorizations to traditional Medicare; new bill aims to stop it

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Medicare money payment
President Donald Trump’s administration argues that their “WISeR” model will eliminate unnecessary testing and save Medicare money. But eight Democrats opposing it think it will only bring Medicare Advantage chaos to Part A and Part B.
READ MORE >

Featured Articles

UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services

Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional Medicare, which added new claims codes for providers to use next year.

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UnitedHealthcare UHC UnitedHealth
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UnitedHealthcare bucks Medicare, ends reimbursement for most RPM services

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UnitedHealthcare UHC UnitedHealth
Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional Medicare, which added new claims codes for providers to use next year.
READ MORE >

Doctor sues Waymo after AI flags him as a terrorist

Nasser Mohamed, MD, a neurologist who operates a clinical practice in San Francisco, said an artificial intelligence system used by the autonomous taxi company led to him being denied multiple rides. He is seeking injunctive relief.

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Waymo Creative Commons Image
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Doctor sues Waymo after AI flags him as a terrorist

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Waymo Creative Commons Image
Nasser Mohamed, MD, a neurologist who operates a clinical practice in San Francisco, said an artificial intelligence system used by the autonomous taxi company led to him being denied multiple rides. He is seeking injunctive relief.
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Ohio AG investigating business practices of nonprofit safety net hospital

Authorities said in a court filing that they received a complaint about Northeast Ohio Neighborhood Health Services’ business practices. The health system owes more than $12 million to creditors, and investigators are asking to see its financial records.

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Ohio AG investigating business practices of nonprofit safety net hospital

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jury court verdict juror lawsuit trial
Authorities said in a court filing that they received a complaint about Northeast Ohio Neighborhood Health Services’ business practices. The health system owes more than $12 million to creditors, and investigators are asking to see its financial records.
READ MORE >

In Case You Missed It

Combined AI chatbot, telehealth app earns $25M investment

Physician-founded Counsel Health said it will use the funds to hire more doctors as it expands the userbase for its AI, which allows patients to ask questions and get answers from a real doctor.

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Chatbot
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Combined AI chatbot, telehealth app earns $25M investment

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Chatbot
Physician-founded Counsel Health said it will use the funds to hire more doctors as it expands the userbase for its AI, which allows patients to ask questions and get answers from a real doctor.
READ MORE >

Judge blocks Trump's shutdown layoffs—1,200 HHS workers spared for now

U.S. District Court Judge Susan Illston said the firings appear to be politically motivated and may exceed the authority of the executive branch. She sided against the Trump administration, issuing a temporary restraining order to stop 4,200 federal employees from being fired. 

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judge court gavel justice system legal
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Judge blocks Trump's shutdown layoffs—1,200 HHS workers spared for now

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judge court gavel justice system legal
U.S. District Court Judge Susan Illston said the firings appear to be politically motivated and may exceed the authority of the executive branch. She sided against the Trump administration, issuing a temporary restraining order to stop 4,200 federal employees from being fired. 
READ MORE >

In Other News

RadNet reports 'record' quarterly revenue alongside rising procedural volumes

The outpatient imaging center operator's latest financial report highlights positive trends “in virtually all aspects of the business.”

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RadNet reports 'record' quarterly revenue alongside rising procedural volumes

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The outpatient imaging center operator's latest financial report highlights positive trends “in virtually all aspects of the business.”
READ MORE >

FDA clears new-look robotic system from Stereotaxis

GenesisX represents the company’s most accessible robotic system to date. It requires no room shielding or structural anchoring, for example, and the size has been significantly reduced.

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Stereotaxis GenesisX
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FDA clears new-look robotic system from Stereotaxis

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Stereotaxis GenesisX
GenesisX represents the company’s most accessible robotic system to date. It requires no room shielding or structural anchoring, for example, and the size has been significantly reduced.
READ MORE >

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