CMS's CY 2026 Home Health Prospective Payment System Final Rule incorporates industry advocacy, easing payment cuts but challenges remain amid rising costs and evolving Medicare Advantage models.
CMS issues proposed 2027 rules updating Medicare Advantage and Part D programs, implementing Inflation Reduction Act changes, revising star ratings, marketing oversight, and program integrity requirements.
CMS's 2027 Proposed Rule for Medicare Advantage revises Star Ratings by focusing on clinical quality and member experience, delaying equity-focused rewards, and enhancing integrated care for dual-eligible populations.
CMS issues proposed 2027 updates to Medicare Advantage, Part D, risk adjustment, and reporting rules, seeking stakeholder input on quality measures and program improvements.
Explore the CMS CY 2027 Proposed Rule's impact on Medicare Advantage quality measures, Star Ratings, and integration of dual-eligible members with Medicaid. Key insights for health plans and state agencies.
CMS releases the Calendar Year 2026 OPPS-ASC Final Rule, impacting Medicare reimbursement rates for hospital outpatient services, radiopharmaceuticals, and 340B drug pricing.
A federal judge denied Florida Blue's request to reconsider Medicare Advantage star ratings linked to Broward County's 2023 flooding, citing CMS's regulatory criteria for public health emergencies.
