CMS released 2027 proposed Medicare Advantage rules focusing on simplifying Star Ratings, expanding risk adjustment data use, and streamlining reporting requirements.
CMS releases the Calendar Year 2026 OPPS-ASC Final Rule, impacting Medicare reimbursement rates for hospital outpatient services, radiopharmaceuticals, and 340B drug pricing.
The Supreme Court examines presidential authority under IEEPA to impose tariffs amid debate on their fiscal impact on Social Security, Medicare, and national debt. Economic analysis highlights limited revenue benefits and significant economic drawbacks.
Explore critical enforcement trends and compliance strategies addressing cyber threats and AI integration in the legal sector, relevant for insurance and legal professionals.
Skilled nursing facilities increasingly adopt value-based care models like ACOs and Medicare Advantage SNPs to enhance patient outcomes, improve operational efficiency, and boost financial stability under evolving CMS regulations.
Hospitals challenge HHS's 340B pilot shifting drug discounts to a rebate system, citing financial risks and regulatory concerns.
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Medicare Advantage Annual Enrollment Period ends soon; eligible seniors can enroll in plans covering vision, dental, and prescriptions for 2026.
CMS extends contract with Quest Analytics for five years to support Medicare Advantage network adequacy evaluations using advanced provider data solutions.
The 2026 Social Security cost of living adjustment is effectively reduced by rising Medicare premiums and healthcare costs, impacting retiree income and benefits.
