01 Growth of Remote Patient Monitoring Reimbursement The adoption of digital health solutions is driving a significant expansion in the reimbursement for Remote Patient Monitoring (RPM) globally. Governments and private insurers are increasingly updating policies to include home-based monitoring for chronic conditions such as diabetes, hypertension, and heart disease. For example, in November 2023, the Centers for Medicare & Medicaid Services (CMS) expanded RPM reimbursement to include Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). These facilities are now able to bill for RPM services under the general care management code HCPCS G0511, improving access to remote monitoring for underserved populations. This policy change underscores the growing recognition of RPM’s role in managing chronic conditions and reducing healthcare disparities.
02 Expanding Coverage for Personalized Medicine The growing adoption of precision medicine is prompting insurers and government programs to expand reimbursement for genomic testing, targeted therapies, and biomarker-driven treatments. This shift is enhancing disease prediction, prevention, and the development of customized treatment plans, particularly for cancer and rare diseases. In January 2024, Medicare expanded reimbursement for Next-Generation Sequencing (NGS) in oncology, providing greater access to genomic testing for patients with advanced cancers, including prostate, ovarian, and breast cancer. This expansion supports earlier detection, personalized treatment options, and better patient outcomes. Therefore, it reflects the increasing value placed on precision medicine, which is driving growth in the reimbursement market by offering more effective, patient-centered care.
February 2026 Oracle Cloud Infrastructure was selected by the Centers for Medicare & Medicaid Services (CMS) to support modernization of mission-critical systems, improving the efficiency and scalability of healthcare reimbursement administration.
October 2025 CMS finalized the 2026 Medicare Physician Fee Schedule, introducing payment reforms focused on improving reimbursement accuracy, reducing unnecessary spending, and strengthening chronic disease management.
September 2025 Oracle Health introduced AI-powered payer-provider collaboration applications to streamline prior authorization, reduce claims denials, and improve reimbursement workflows.