CMS finalizes key elements of the CY 2026 Medicare Advantage and Medicare Part D final rule, including insulin coverage expansion, Prescription Payment Plan codification, pharmacy data requirements, and updated enrollee protections.
CMS increases 2026 Medicare Advantage reimbursement rates to 5.06%, easing insurer pressures while adjusting policies on obesity drug coverage and billing practices.
CMS drives healthcare efficiency with initiatives like the HL7 FHIR Connectathon, Oklahoma directory pilot, HIPAA updates, and new prior authorization rules for Medicare and Medicaid.
The Trump administration's 2026 draft budget proposes a one-third reduction in HHS funding, affecting NIH, CDC, CMS, and rural health programs, with key agency restructures and policy shifts.
Democratic governors oppose Trump-era CMS rule limiting state control over ACA health insurance marketplaces, citing disruption to enrollment, eligibility, and essential benefits coverage.
Federal budget cuts targeting Medicare and Medicaid create challenges for Arizona's healthcare system, threatening rural hospitals and vulnerable populations dependent on AHCCCS coverage.
Discover the latest changes in Medicare Advantage policies announced by CMS for 2026, highlighting new compliance standards and efforts to improve healthcare integration and quality.
The CMS final rule effective 2026 will modernize Medicare Advantage and Part D, enhancing drug coverage and establishing more robust regulatory frameworks.
Governors from five U.S. states have challenged a new CMS rule that could alter health insurance marketplace regulations, emphasizing potential risks to coverage and state authority.
CMS has finalized 2026 policies for Medicare Advantage and Part D, including significant payment increases and improved risk adjustment models, aimed at enhancing healthcare quality for U.S. seniors.
