Tag: CMS

AMA Supports CMS's ACCESS Model to Advance Tech-Enabled Chronic Care in Medicare

The AMA endorses CMS's ACCESS Model, promoting technology-enabled care for chronic conditions in Medicare patients, aiming to improve outcomes and modernize disease management.

Zing Health Sues HHS and CMS Over Medicare Part D Termination and Ratings Dispute

Zing Health sues HHS and CMS over improper Medicare Part D termination and star rating methodology disputes, claiming significant financial and reputational damages.

CMS Proposes Key Changes to Medicare Advantage Star Ratings and Regulatory Streamlining for 2027

CMS releases 2027 Medicare Advantage and Part D proposed rule focusing on Star Ratings adjustments, regulatory burden reduction, and program spending projections.

CMS Launches ACCESS Payment Model to Enhance Tech-Enabled Care for Medicare Chronic Conditions

CMS introduces the ACCESS payment model to provide Medicare beneficiaries with chronic conditions greater access to technology-driven care, shifting from fee-for-service to outcome-based payments.

CMS Launches ACCESS Model to Transform Chronic Care with Outcomes-Based Payments

CMS announces the ACCESS Model, a 10-year initiative starting in 2026 to advance technology-supported, outcomes-based care for Medicare beneficiaries with chronic conditions, emphasizing performance-driven payments and regulatory compliance.

GAO Report Reveals Extensive Fraud Risks in ACA Health Insurance Exchanges

GAO uncovers significant fraud vulnerabilities in ACA health insurance exchanges, highlighting unverified subsidies and systemic compliance gaps risking billions in taxpayer funds.

Key Updates on 2026 Medicare Premiums, Deductibles, and Enrollment Deadlines

Stay informed on 2026 Medicare premium increases, deductible changes, and key enrollment deadlines. Understand how new CMS rates impact Medicare beneficiaries and the importance of supplemental coverage.

CMS Proposes Major Medicare Advantage and Part D Program Updates for 2027

CMS proposes significant updates to Medicare Advantage and Part D programs for 2027, including Star Ratings revisions and increased quality bonuses, impacting Medicare spending and compliance.

CMS Proposes Comprehensive CY2027 Medicare Advantage and Part D Regulatory Updates

CMS releases proposed rule for CY2027 Medicare Advantage and Part D programs with key changes to Part D redesign, Star Ratings, special enrollments, and marketing compliance. Regulatory updates impact plan operations, quality metrics, and data access.

CMS Proposes Cancelling Rule on Unused Medicare Advantage Supplemental Benefits Alerts

CMS proposes to cancel the rule requiring Medicare Advantage plans to notify beneficiaries of unused supplemental benefits amid low utilization and administrative challenges.