Medicare Pilot Program, the Megaregion, and Marshmallow-Loving Marmosets

Texas is one of six states that will participate in a pilot program that uses artificial intelligence to evaluate prior approvals for certain procedures for Medicare patients. Arizona, New Jersey, Ohio, Oklahoma, and Washington were also selected for participation in the six-year program, which starts Jan. 1.

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Coastal Retirement Homeownership, NC By Train, and New Year’s Day Recipes

A 2024 U.S. Census Bureau survey presented by USAFacts reveals that 35.5% of North Carolina households are renters, resulting in a homeownership rate of 64.5%.

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Sunday, December 28, 2025 Good Morning! On this day in 1859, the Hebrew Congregation of the City of Houston was chartered as the first Jewish house of worship in Texas. It was renamed Congregation Beth Israel in 1945. This is an abbreviated holiday edition of The Texas Flyover, which allows our staff to spend time with family and friends. We'll be back with a full edition tomorrow. If you're ready to finally take control of your weight and your health, today's sponsor, DirectMeds, makes it simple to start—with trusted GLP-1 treatments prescribed online and delivered straight to your door. Take The Flyover with you. Busy day? Listen to our daily 15-minute podcast while commuting, cooking, or walking the dog—your Flyover fix, anywhere. AI-Powered Medicare Pilot Program Coming Soon Texas is one of six states that will participate in a pilot program that uses artificial intelligence to evaluate prior approvals for certain procedures for Medicare patients. Arizona, New Jersey, Ohio, Oklahoma, and Washington were also selected for participation in the six-year program, which starts Jan. 1. The program, dubbed WISeR (Wasteful and Inappropriate Service Reduction), requires prior approval for more than a dozen medical procedures—including electrical nerve stimulation and epidural steroid injections—that "historically have had a higher risk of waste, fraud and abuse," according to the Centers for Medicare & Medicaid Services. AI companies that administer the program will receive a portion of the cost savings associated with each denial, a model the American Hospital Association has characterized as a "perverse incentive." Human clinicians will review denials, and companies could be penalized if procedures they deny are subsequently appealed and approved. Massachusetts-based Cohere Health will administer the program in Texas. In a statement, the company said its AI-powered prior authorization platform approves 90% of requested procedures. Austin-San Antonio Megaregion Primed for Growth Austin and San Antonio are 75 miles apart and have a combined population of 5.3 million, but the fast-growing cities are expected to become a megaregion with more than 8.3 million people by 2050. Earlier this year, business leaders and government officials met at Texas State University in San Marcos for the first-ever Austin-San Antonio Megaregional Collaborative. At the summit, attendees highlighted the strengths of each city and discussed challenges to continued growth, like affordable housing, job training, and water and transportation infrastructure. "This area is going to grow," said Henry Cisneros, the mayor of San Antonio during the 1980s and a former Housing and Urban Development secretary under President Bill Clinton. "It's not a question of if. It's only a question of at what pace and if we're prepared for it." Cisneros, the co-author of the recently published The Austin–San Antonio Megaregion, emphasized the importance of regional coordination. "Are we going to grow in a planned way with proper support, with some kind of rational transportation system, quality of life, opportunities for training, and a coherent approach?" he asked. "Or is this just going to be eclectic growth that creates traffic congestion, air pollution, and communities at each other's throats? That's the choice." Flying together with our sponsor Ready to start your weight loss journey and take control of your health? With DirectMeds, it's never been easier. Their licensed providers prescribe clinically proven GLP-1 medications like semaglutide and tirzepatide—powerful treatments that curb appetite, support balanced blood sugar, and promote steady, sustainable fat loss. Losing excess weight doesn't just change how you look—it can lower your risk of diabetes, improve heart health, boost energy, and restore confidence. DirectMeds makes it simple and affordable to begin: complete a quick online consultation, get approved within 24 hours, and receive your medication shipped discreetly to your door. Start your transformation today with DirectMeds. ➤ Gov. Greg Abbott has called for legislation that would establish an office of Chief State Prosecutor, arguing that some local district attorneys have refused to prosecute certain criminals. "Progressive DAs are literally leading to the murder of Texans," he posted on social media. (More) ➤ More than 150 Lake Austin property owners successfully petitioned to be removed from the city of Austin's jurisdiction, claiming they weren't receiving full services despite paying taxes. (See Details) ➤ NBC's Friday Night Lights TV series, which was filmed in and around Austin and aired from 2006 to 2011, is credited with revitalizing the Central Texas film industry and boosting the state's production credentials. Streaming service Peacock is currently working on a series reboot. (More) ➤ San Antonio's Texas Biomedical Research Institute is home to roughly 450 marmosets that are used for research on human aging and a variety of health conditions. The squirrel-sized monkeys, which "get chunky like we do," are big fans of mini marshmallows. (See Photos) ➤ Abilene resident Reed Ambrose is the creator of Wispwood, a new board game published by Czech Games Edition. "I've always loved creating," he said. "I just love that I'm able to actually share it with people." (More) ➤ Austin-based Alpha School plans to open several new Texas Sports Academy schools across the state next year. The private school uses an AI-driven instructional platform that enables students to complete their coursework in two hours each day. (See Details) Flying together with our sponsor ➤ I'm always looking for easy ways to get more protein in the morning without loading up on sugar—Javvy Protein Coffee checks both boxes. With 10g of protein and 0g of sugar, it's become a daily staple for me. I mix one scoop into 8 oz of milk and genuinely enjoy the taste. No jitters, no crash—just energy and a satisfying start to my day. (SHOP NOW) Enjoy reading The Texas Flyover? Click here to share with your friends and family. ✈️ Flying together with our sponsor Take control of your weight and health with DirectMeds. Their licensed providers prescribe trusted GLP-1 medications like semaglutide and tirzepatide—clinically proven to curb appetite, balance blood sugar, and promote lasting fat loss. Lower your risk of diabetes, boost energy, and feel confident again. Start today with a quick online consultation and 24-hour approval. UTSA's graduation ceremony earlier this month. Is the WISeR pilot program a good idea? Absolutely No way Not sure Yesterday's Results: Are you returning any Christmas gifts? No: 52% Yes: 19% Don't exchange gifts: 15% Maybe: 14% What is the only non-numbered state highway in Texas? Show me the answer Unsubscribe (Step One) The Texas Flyover 1942 W Gray St Unit #158 Houston, TX 77019

Sunday, December 28, 2025 Good Morning! On this day in 1936, American auto racer Jack Ingram was born in Asheville. Considered one of the most successful drivers in the history of what's now the Xfinity Series, he secured five championships and made over 275 starts between 1982 and 1991. Ingram notched 31 NASCAR Busch Series victories, with all but two coming on short tracks, earning him recognition as one of NASCAR's 50 Greatest Drivers. Today's edition of Flyover North Carolina is trimmed down as our team steps away to enjoy the holiday with loved ones. We'll be back on track with our regular news roundup tomorrow. If you're ready to finally take control of your weight and your health, today's sponsor, DirectMeds, makes it simple to start—with trusted GLP-1 treatments prescribed online and delivered straight to your door. Don't feel like reading the national edition of The Flyover? Tune in to The Flyover Podcast! New episodes drop daily—watch on YouTube or listen on Spotify and Apple Podcasts, all in under 15 minutes.

Homeownership Up in Coastal, Retirement Areas A 2024 U.S. Census Bureau survey presented by USAFacts reveals that 35.5% of North Carolina households are renters, resulting in a homeownership rate of 64.5%. The state's strongest homeownership rates are in retirement-oriented and coastal metro areas, led by Pinehurst-Southern Pines at 76.5% (primarily Moore County), followed by Wilmington at 74.6% and Asheville at 73.9%. These rates exceed the statewide average, reflecting preferences for suburban, retirement, and scenic locations amid varying affordability. Overall, North Carolina's homeownership rate of 64.5% sits just below the national average of about 65.6%. The data coincides with a 2026 Realtor.com forecast showing Charlotte's housing market will slip to No. 70 among the 100 largest U.S. metros, with home sales projected to decline 2.4% and prices to rise just 1.1%. NCSU Studies Intergenerational Family Support A new NC State study reveals the complex health impacts of intergenerational family support in aging European societies. Researchers analyzed data from over 38,000 adults aged 60 and older across 19 countries, examining how providing or receiving financial and practical help affects their physical and mental well-being. Overall, giving support often correlates with poorer health outcomes, likely due to added stress and depleted resources. However, offering practical assistance, such as childcare or household help, was linked to higher self-rated health—possibly due to boosting self-esteem and stronger relationships. Co-author Anna Manzoni, a sociology professor at NC State, emphasizes the need for careful policy approaches in aging populations to prevent overburdening individuals while addressing rising care demands amid mobility changes and other challenges.

Flying together with our sponsor Ready to start your weight loss journey and take control of your health? With DirectMeds, it's never been easier. Their licensed providers prescribe clinically proven GLP-1 medications like semaglutide and tirzepatide—powerful treatments that curb appetite, support balanced blood sugar, and promote steady, sustainable fat loss. Losing excess weight doesn't just change how you look—it can lower your risk of diabetes, improve heart health, boost energy, and restore confidence. DirectMeds makes it simple and affordable to begin: complete a quick online consultation, get approved within 24 hours, and receive your medication shipped discreetly to your door. Start your transformation today with DirectMeds.

➤ North Carolina is among 16 U.S. states experiencing economic expansion, supported by sectors like finance, tech, and manufacturing, according to Moody's Analytics data as of October 2025. (More) ➤ NC By Train achieved record ridership in 2025, with a 4% increase and October's 74,400 passengers, marking the highest monthly total in 35 years. The growth stems from affordable fares, new routes, and special trains like the Football Train and Santa Train. (More) ➤ The State Employees' Credit Union donated $500,000 to Feeding the Carolinas on Dec. 17, supporting hunger relief and fresh food distribution across North Carolina food banks. (More) ➤ Restaurants open New Year's Day include Carolina Brewery, The Durham, Fleming's, Perry's Steakhouse, Lucky 32 Southern Kitchen, Sullivan's Steakhouse, Del Frisco's, Cúrate, Chai Pani, and Posana, among others. Some will also be open on New Year's Eve. (See Triangle, Charlotte, and Asheville Lists) ➤ Southern Living shares 35 New Year's Day recipes, including Hoppin' John, pepper jelly-glazed pork chops, smoky soups, and potlikker dishes. (See List) Enjoy reading Flyover North Carolina? Click here to share with your friends and family. ✈️

Flying together with our sponsor Take control of your weight and health with DirectMeds. Their licensed providers prescribe trusted GLP-1 medications like semaglutide and tirzepatide—clinically proven to curb appetite, balance blood sugar, and promote lasting fat loss. Lower your risk of diabetes, boost energy, and feel confident again. Start today with a quick online consultation and 24-hour approval.

How good are you at sticking to New Year's Resolutions?

Do you make New Year's Resolutions? Every year Tried a few times Not my thing Yesterday's Results: Have you returned Christmas gifts? Once in a while: 31% Many times: 21% I usually just recycle them: 24% Not yet: 24%

Who won NASCAR's first race in 1948? Show me the answer

Unsubscribe (Step One) Flyover North Carolina 2474 Walnut St. Mailbox #244 Cary, NC 27518

Trump Housing Reform Could Change Home Prices in 2026

New analysis shows how Trump's housing reform plans could affect prices next year and what buyers, sellers, and renters should be watching closely.  ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌

December 27, 2025 New analysis shows how Trump's housing reform plans could affect prices next year and what buyers, sellers, and renters should be watching closely. ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌   FEATURED Trump Housing Reform Could Change Home Prices in 2026 New analysis shows how Trump's housing reform plans could affect prices next year and what buyers, sellers, and renters should be watching closely. See What 2026 Could Bring ➡️   BONUS FEATURES U.S. Strikes ISIS Targets in Nigeria Learn Why The U.S. Acted ➡️   ICE Arrests 100 Illegal Truck Drivers Learn How This Happened ➡️   DISCLAIMER Use of this content is subject to the Privacy Policy and Terms of Use published on penniestosave.com. Content marked as "Ad," "Special" or "Sponsored" may be paid third party advertisements and are not endorsed or warranted by our staff or company. The content in our emails is for informational or entertainment use, and is not a substitute for professional advice. Always check with a qualified professional for treatment advice and/or diagnosis. Be sure to do your own careful research before taking action based on anything you find in this content. Our primary goal is to empower and educate individuals, equipping them with the essential tools, resource, and a supportive community to successfully achieve their financial aspirations. Whether you seek immediate solutions or long-term transformations in your lifestyle, we are dedicated to providing guidance every step of the way. PenniesToSave.com Intended for: akunkusus@gmail.com. Learn AI in 5 minutes a day What's the secret to staying ahead of the curve in the world of AI? Information. Luckily, you can join 1,000,000+ early adopters reading The Rundown AI — the free newsletter that makes you smarter on AI with just a 5-minute read per day. Sign up to start learning.   Update your email preferences or unsubscribe here © 2025 Northgate Publishers LLC 228 Park Ave S, #29976, New York, New York 10003, United States Powered by beehiiv Terms of Service