News
Major Federal Healthcare Policy Changes: What Oncology Practices Should Be Aware of for 2026
- Several federal healthcare policy changes took effect January 1 - with more coming in 2026 - that may impact coverage, reimbursement, prior authorization timelines, and patient financial responsibility.
- These updates span the ACA marketplace, Medicare payments, drug pricing, Medicaid, and prior authorization modernization.Details >
Ohio MyCare Plan Changes: What Oncology Providers Need to Know for 2026
- Coverage shifts may affect your patients: Anthem, Buckeye, CareSource, and Molina will cover MyCare services starting January 1, 2026. Aetna and United will no longer provide coverage.
- EVV updates could impact authorizations: Providers using Sandata or alternate EVV systems may need to adjust payers or authorizations for patients transitioning between plans.Details >
OHOS Legislative Advocacy Update
- January Legislative Highlights by OHOS Lobbyist, Matt Whitehead
- OHOS Legislative Tracking Summary
Wishing You Happy Holidays and a Bright Start to 2026!
- See What We've Accomplished Together in 2025!Details >
OHOS Legislative Advocacy Update
- December Legislative Highlights by OHOS Lobbyist, Matt Whitehead
- OHOS Legislative Tracking Summary
MyCare Ohio Transitions to Next Generation Program in 2026
Managed care model for Ohioans who are dually eligible for Medicare and Medicaid
Details >CMS Releases Outpatient Hospital Final Rule for 2026
- Payment rates increase by 2.6%
- Outpatient administration code payment reduced by 40%!
- Along with many other updates!Details >
OHOS Patient Advocate of the Year Awards!
Congratulations to all of our honorees!
- Kayleen Cunningham - Toledo Clinic Cancer Centers,
- Mary Heinichen - TriHealth Cancer & Blood Institute and
- Angela Ray - Columbus Oncology & Hematology!
...and our many additional honorees who make a difference every day!Details >
Medicare Telehealth Flexibilities Have Been Extended
Details >Significant Medicare Physician Reimbursement Methodology Changes Finalized for 2026
Details >CMS Modernizes Payment Accuracy and Significantly Cuts Spending Waste while Improving Chronic Disease Management for Medicare Beneficiaries
- CMS Physician Fee Schedule Final Rule & Fact Sheet Released!
- Be sure to attend the OHOS Annual Meeting on November 19th to hear all about the changes expected in 2026!Details >
OHOS Legislative Advocacy Update
- November Legislative Highlights by OHOS Lobbyist, Matt Whitehead
- OHOS Legislative Tracking Summary
CGS Medicare Update on Medicare Operations: Telehealth, Claims Processing, and Medicare Administrative Contractors Status During the Shutdown
Details >OHOS October Legislative Advocacy Update
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OHOS legislative highlights: SB 160 (non-medical switching), SB 207 (co-pay accumulator), HB 219 (Network Adequacy)HB 8 (biomarkers), HB 214 (gold card prior authorization), and more...
Multi-Cancer Early Detection Act Reaches Major Milestone in Congress
Details >WATCH OUT - October 1st Launches Cigna and Aetna E/M Coding Accuracy Policies!
Details >OHOS September Legislative Advocacy Update
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OHOS legislative highlights: HB 8 (biomarkers), HB 214 (gold card prior authorization), SB 207 (co-pay accumulators), HB 429 (provider reimbursement protections), fertility preservation coverage and more...
OHOS Annual Fall Meeting
Wednesday, November 19, 2025, Quest Conference Center, Columbus
- Review the Agenda - A meeting you cannot miss!
- Registration Closes Nov.12th - REGISTER TODAY!Details >
Cardinal Health Foundation aims to improve prescription recycling, medication availability
Ohio's first ever statewide drug repository, in which Ohioans can donate certain drugs to be repurposed.
Details >Ohio Attorney General Wins Temporary Restraining Order Against Thin Blue Line
Yost Takes Insurer to Court Over First Responders’ Unpaid Medical Bills
Blocks this entity from engaging in the business of insurance in Ohio after first responders are on the hook for hundreds of thousands of dollars in medical bills!
Details >State and Regional Oncology Affiliates Endorse Improving Seniors’ Timely Access to Care Act
OHOS Endorsement Included!
Details >A Nearly 4% Reimbursement Increase in 2026 Medicare Physician Fee Proposal
Details >CMS Releases Proposed Rules for 2026: Physician Fee Schedule & Hospital Outpatient Prospective Payment System
Details >CMS Finalizes 2025 Marketplace Integrity And Affordability Final Rule
On June 20, 2025, the Centers for Medicare & Medicaid Services (CMS) released the 2025 Marketplace Integrity and Affordability final rule aimed at addressing improper enrollments in the ACA Health Insurance Exchange for 2026.
Details >Budget Reconciliation Bill Signed Into Law
The bill includes a 2.5% Medicare physician payment increase for 2026.
Details >Fertility Preservation in People With Cancer: ASCO Guideline Update
OHOS to introduce a bill to ensure insurance coverage for Ohioans - See OHOS Legislative Update for announcement!
Details >OHOS Statehouse Day Summary – June 4, 2025
Details >OHOS June Legislative Advocacy Update
Latest updates on Ohio’s state budget, key healthcare legislation, a number of newly introduced bills including Gold Card/Prior Authorization that includes drugs and other upcoming advocacy efforts!
Visit OHOS at Booth #11001 at ASCO25 in Chicago
Will you be at ASCO in Chicago May 30th - June 3rd? Be sure to visit OHOS at the State Society Booth!
Details >OHOS May Legislative Advocacy Update
Latest updates on Ohio’s state budget, key healthcare legislation, a number of newly introduced bills including Gold Card/Prior Authorization that includes drugs and other upcoming advocacy efforts!
OHOS Members - URGENT UPDATE - Necessary Action Steps for Patients Affected by Unauthorized Medicaid to Marketplace Plan Transfers
Details >Oncology Coding Certification Course
Free to OHOS Members
Earn your CMB-ONC Certification! Sign up today!
Details >OHOS April Legislative Advocacy Update
Latest updates on Ohio’s state budget, key healthcare legislation, a number of newly introduced bills including Gold Card/Prior Authorization that includes drugs and other upcoming advocacy efforts!
URGENT: Fraudulent Medicaid-to-Marketplace Plan Enrollments – OHOS Member Action Required
Details >Congress Extends Telehealth Through September 2025 but Fails to Address Medicare Physician Pay Cut
Details >Action Steps for Patients Affected by Unauthorized Medicaid to Marketplace Plan Transfers
Details >CMS Takes Aim to Reduce Improper Enrollments in the Health Insurance Marketplaces for Millions of Consumers
2025 Marketplace Integrity and Affordability Proposed Rule
Details >OHOS 2025 Legislative Advocacy Agenda
See Our Current Top Advocacy Priorities for 2025!
Details >Congressional Bill Could Reverse Medicare Cuts and Increase Physician Pay
Details >OHOS Calls on Congress to Stop Medicare Cuts and Extend Telehealth Access
Please urge your elected officials to safeguard our patients' access to telehealth before the deadline!
Details >Medicare Telehealth Flexibilities Set to Expire March 31
Without congressional action, Medicare telehealth flexibilities will end on March 31, 2025, limiting access for millions of beneficiaries
Details >OHOS March Legislative Advocacy Update
Get the latest updates on Ohio’s state budget, 340B program changes, key healthcare legislation, and upcoming advocacy efforts
FDA Safety Announcement: FDA Highlights Importance Of DPD Deficiency Discussions With Patients Prior To Capecitabine Or 5FU Treatment
Details >Bill Introduced to Reverse 2.83% Physician Medicare Cuts
Details >OHOS MEMBERS - WE NEED YOUR HELP!
Join the OHOS Task Force to Oppose HB 21 which PROTECTS Health Care Ministries from Regulation!
Details >OHOS "Spotlight" Webinar Series!
Did you miss this update on Paxman Scalp Cooling
- Recording and Handouts are Available!
Wishing You Happy Holidays and a Bright Start to 2025!
Details >Mandatory Insurance Coverage for Biomarker Testing
Cancer Group Panel Assesses Evolving Landscape For The Disease
Details >OHOS with ASCO Advocating for Congress to Pass National Prior Authorization Reform when they Return From Recess!
OHOS Members - You can help too!
Details >ASCO - 2025 Physician Fee Schedule Proposed Rule and Its Impact on Oncology
Recorded Webinar Available
Details >Federal Trade Commission Report: Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies
Details >CMS Releases 2025 Proposed Rules for the Outpatient Hospitals (OPPS) and the Physician Fee Schedule (PFS)
Details >Seniors’ Access to Critical Medications Act (H.R. 5526) Goes to House Floor for Vote
Bill addresses the Stark Law which required patients to pick up medication in person, prohibiting mail delivery by practices or even pickup by a caregiver.
Details >Almost 90% of Oncology Practices Still Report Drug Shortages: New NCCN Data
Details >July Update: OHOS & Lobbyist, Matt Whitehead
Read about OHOS Day on the Hill in Columbus and the Latest Advocacy Developments
Details >June Update: OHOS & Lobbyist, Matt Whitehead
Read about OHOS Day on the Hill in Columbus and the Latest Advocacy Developments
Details >ASCO Sets Six Guiding Principles for AI in Oncology
Details >Update to ASCO-ONS Antineoplastic Therapy Administration Safety Standards Expands Scope to New Therapies and Sites of Care
Details >CMS Reopens Enhancing Oncology Model (EOM) With Payment Boost, Extends Model to 2030
Details >CMS Finalizes Rules Codifying More Prescription Drugs as Essential Health Benefits, Improving Health Equity, Addressing Biosimilar Substitutions
Details >May Update: OHOS & Lobbyist, Matt Whitehead
Read about the Latest Developments Regarding the Biomarker Bill as well as Two New Bills Just Introduced!
Details >United Healthcare, Optum, and Change Healthcare Involved in Northeast Ohio Neighborhood Health Data Breach
Details >New ASCO Guideline Recommendations Answer Key Questions About Vaccinating Adults with Cancer
Details >April Update: OHOS & Lobbyist, Matt Whitehead
Read about the Latest Developments Regarding the Ohio Prior Authorization Gold Card Bill and the Removal of Drugs - We Need Your Help To Address This!
Details >Enhancing Access: Ohio's Drug Repository Program Evolution
Details >
