CMS Reaffirms Federal Preemption Over Medicare Advantage Broker Compensation
CMS memo confirms federal law supersedes state regulation of Medicare Advantage broker compensation and marketing, impacting insurer practices and legal disputes.
CMS 2026 Updates Expand Community Health Integration Provider Eligibility and Initiating Visits
CMS's 2026 Physician Fee Schedule rule expands eligible providers and initiating visits for Community Health Integration services, enhancing behavioral health integration and reimbursement pathways.
CMS Finalizes 2026 Medicare Physician Fee Schedule with Key Updates for Osteopathic Doctors
CMS finalized the 2026 Medicare Physician Fee Schedule and Quality Payment Program rule, including updates on conversion factor and MIPS thresholds impacting osteopathic physicians.
CMS Issues Guidance on Medicaid Community Engagement and Eligibility Reforms
CMS releases new guidance for states on implementing Medicaid community engagement and eligibility reforms under the Working Families Tax Cut legislation to promote sustainability and efficiency.
CMS Administrator Dr. Mehmet Oz Shares Healthy Snacking Tips with Federal Employees
CMS Administrator Dr. Mehmet Oz provides weekly healthy snacking tips to federal employees, highlighting wellness strategies within a major healthcare agency overseeing coverage for 160 million Americans.
Medicare Telehealth Flexibilities Extended Through January 2026 Under H.R. 5371
H.R. 5371 temporarily extends key Medicare telehealth flexibilities through January 2026, restoring pandemic-era policies and directing CMS to update claims processing guidance.
CMS Faces Scrutiny Over Broker Fraud in ACA Marketplace Amid GAO Report
GAO report exposes broker fraud in ACA Marketplace. CMS's enforcement and oversight shortcomings prompt Congressional inquiry into fraud prevention and consumer protection.
ACA Individual Enrollment Slows Amid Uncertainty Over Premium Subsidies
ACA individual health insurance enrollment for 2026 lags last year amid uncertain extension of premium tax credits. Congressional debate over subsidies impacts market dynamics and premiums.
SMBC365 Launches RCM Initiative to Address Proposed 7% Medicare Reimbursement Cut
SMBC365 unveils a Revenue Cycle Management initiative designed to help medical providers counteract the proposed 7% cut in CMS Medicare reimbursements, focusing on billing and revenue optimization.
Senator Cassidy Challenges AMA Over CPT Coding Control and Licensing Fees
Senator Bill Cassidy demands transparency from AMA over CPT coding system royalties and licensing fees amidst CMS payment cuts, raising concerns on healthcare reimbursement and costs.