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Tag: CMS

CMS Releases 2026 Final Rule for Medicare Advantage and Part D Programs

CMS finalizes key aspects of the 2026 Medicare Advantage and Part D programs rule, including expanded insulin coverage, payment plans, and new pharmacy requirements for network participation.

Medicare Pay Cuts Threaten Primary Care Access Amid Doctor Shortages

Medicare's ongoing pay cuts strain primary care physicians, intensifying doctor shortages and risking access to care for the growing senior population. Increased audits and complex billing compound challenges, pushing some doctors out of Medicare.

CMS Extends Skilled Nursing Facility Medicare Revalidation Deadline to August 2025

CMS extends skilled nursing facilities' Medicare revalidation deadline to August 2025 amid new ownership disclosure requirements to improve care quality oversight.

Comprehensive Support Network Streamlines Medicare Enrollment Process

Discover key organizations like SHIP, CMS, SSA, and state insurance departments that simplify Medicare enrollment and assist beneficiaries with plan decisions and supplemental coverage.

Significant Staff Cuts at U.S. Public Health Agencies Threaten Infrastructure and Preparedness

Major staff and budget cuts at key U.S. public health agencies like CDC and FDA risk weakening national health infrastructure and crisis preparedness.

U.S. Pharmaceutical Regulation and Pricing: April 2025 Update

April 2025 update on U.S. pharmaceutical regulation highlights executive orders, budget changes, CMS policies, IRA litigation, and 340B program developments shaping drug pricing and access.

Senate Bill Proposes Clear Medicare Payment Pathway for AI Medical Devices

The Health Tech Investment Act aims to create a consistent Medicare payment system for FDA-approved AI medical devices, enhancing patient access and improving healthcare outcomes.

Dr. Oz sworn in as CMS administrator, Amid Focus on Medicare and Medicaid Reform

Dr. Mehmet Oz confirmed as CMS leader, emphasizing Medicare and Medicaid modernization, targeting fraud, and navigating potential Medicaid funding challenges amid federal budget pressures.

Regulatory Inspection Update: Holly Hill Mental Health Hospital Compliance with Medicare Standards

Holly Hill mental health hospital in North Carolina addresses CMS and NCDHHS compliance issues to maintain Medicare program eligibility. Follow-up inspection results pending.

CMS Releases CY 2026 Final Rule Updating Medicare Advantage and Part D Programs

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.