GAO Report Identifies Fraud Risks in ACA Premium Subsidy Payments
GAO report reveals fraudulent enrollments in ACA marketplace led to improper premium subsidy payouts, prompting legislative calls for subsidy reform and enhanced fraud prevention.
CMS Launches ACCESS Model to Enhance Chronic Care in Traditional Medicare
CMS unveils the ACCESS Model to improve chronic disease management in Traditional Medicare using AI and digital technologies, targeting better access, quality, and cost efficiency in healthcare.
Medicare Fraud Case Highlights Provider Billing Vulnerabilities and CMS Enforcement
A recent case of Medicare billing fraud involving a Florida supplier reveals vulnerabilities in claim processing and CMS enforcement measures to combat provider fraud.
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.