Below is content from the CMA Practice Resources (CPR) newsletter, which keeps you up-to-date on critical payor and health care industry changes. To subscribe to this monthly email newsletter, click here.
October 16, 2025
DHCS is moving forward with a new round of Medi-Cal Rx policy changes that take effect January 1, 2026. The updates—out...
October 09, 2025
Astrana Health’s acquisition of Prospect Health became effective July 1, 2025, transferring provider contracts and oper...
October 07, 2025
Governor Gavin Newsom has signed into law Senate Bill 306, a CMA-sponsored bill that delivers critical reforms to the p...
October 02, 2025
Prop. 35 implementation is finally beginning in four areas: reproductive health, GME residency positions, emergency dep...
While Medicare and Medicaid payments will continue during the federal government shutdown, important programs expired o...
October 01, 2025
The California Board of Pharmacy’s final compounding regulations explicitly exempt physicians and other non-pharmacy pr...
Cigna has agreed to pause implementation of its new automatic downcoding policy pending review by DMHC, following CMA’s...
September 29, 2025
HHS has released updated security risk assessment tool, designed to help small and medium-sized practices comply with H...
September 24, 2025
A federal antitrust lawsuit against MultiPlan and several major insurers is moving forward, alleging a price-fixing sch...
September 18, 2025
CMA has joined a sweeping federal antitrust lawsuit against MultiPlan (now Claritev) and major insurers including Unite...
September 12, 2025
DMHC has ordered health plans to end their contracts with Meritage Health Plan and reassign nearly 11,000 Medicare Adva...
September 11, 2025
This week, two bills sponsored by the California Medical Association (CMA) that will cut red tape around access to heal...
CMA is strongly supporting AB 144 to ensure Californians maintain access to life-saving vaccines amid federal uncertain...
September 04, 2025
The FDA has approved the updated COVID-19 vaccines for adults 65 and older and individuals with high-risk conditions—a ...
CMA is urging physicians and medical groups to contact Cigna and demand the withdrawal of its new automatic downcoding ...
Beginning Oct. 1, new federal requirements will require certified EHR systems to integrate real-time prescription drug ...
August 27, 2025
With Medicare telehealth flexibilities set to expire Sept. 30, CMA and AMA are urging Congress to pass H.R. 4206, the C...
Federal regulators have extended their “enforcement discretion” on how insurers calculate the Qualified Payment Amount ...
August 20, 2025
DHCS is rolling out a series of Medi-Cal Rx policy changes starting November 1, 2025, with more extensive coverage rest...
CMA is calling on Cigna to rescind a new automatic downcoding policy that appears to violate California law, creates un...
August 11, 2025
Anthem Blue Cross is now enforcing a policy requiring physicians to include the appropriate gestational age ICD-10 Z3A ...
August 09, 2025
Health plans are routinely failing to pay physicians after losing independent dispute resolution cases under the No Sur...
August 06, 2025
CMS has re-opened the Doctors and Clinicians preview period for calendar year 2023, giving physicians another chance to...
August 05, 2025
Advanced APM-participating physicians who have not received incentive payments for the 2023 performance period/2025 pay...
August 04, 2025
A coalition of leading medical organizations is suing HHS Secretary Robert F. Kennedy, Jr., for unilaterally stripping ...
July 17, 2025
CMS has released its proposed 2026 physician payment rule, which would increase the Medicare conversion factors by 3.6%...
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