CMS Launches $50B Rural Health Transformation Program with Nov. 5 Deadline
CMS invites states to apply for the $50B Rural Health Transformation program aimed at improving rural health outcomes, with a Nov. 5 deadline and specific funding rules.
Medicare's 2025 Primary Care Payment Reforms Signal Major Funding Shift
Medicare's 2025 payment updates introduce advanced primary care and behavioral health codes poised to reshape reimbursement landscapes, addressing primary care financial challenges and influencing specialist payment cuts.
CMS 2026 Medicare Payment Proposals Shift Focus to Primary Care and Outpatient Clinics
CMS's 2026 Medicare payment proposals aim to rebalance reimbursements in favor of primary care and outpatient clinics, reduce hospital-owned clinic premiums, and introduce site-neutral payments to improve Medicare value and primary care sustainability.
OIG Highlights Medicare RPM Billing Risks in 2025 Report
The August 2025 OIG report analyzes Medicare billing for remote patient monitoring services, highlighting fraud risks and compliance recommendations amid rising RPM usage.
CMS GUIDE Program Enhances Palliative Care for Dementia Patients
CMS GUIDE program integrates palliative care to improve support and care coordination for dementia patients and caregivers under Medicare Part B, addressing challenges in symptom management and caregiver respite.
CMS Proposes 2026 Medicare Physician Fee Schedule Changes for Telehealth
The CMS 2026 proposed physician fee schedule includes updates to Medicare telehealth reimbursement, frequency limits, and supervision rules, aiming to codify pandemic-era telehealth flexibilities.
Federal Court Blocks Key ACA Exchange Rule Changes; Administration Appeals
A federal court blocks key provisions of the CMS Marketplace Integrity and Affordability rule affecting ACA exchanges, prompting an appeal from the Trump administration. Changes impact health plan design, enrollment rules, and taxpayer costs.
CMS Extends and Enhances AHEAD Model to Advance Cost Control and Prevention
CMS extends the AHEAD Model to 2035, introducing payment reforms and transparency to improve Medicare cost control, prevention, and population health outcomes.
Federal Judge Blocks Key Provisions of New ACA Marketplace Rule
A federal judge blocks major provisions of CMS's new ACA Marketplace rule, pausing stricter eligibility checks and subsidy limits that affect coverage for 1.8 million people.
CMS Halts New Medicaid 1115 Waivers for Workforce Initiatives
CMS will not approve new Medicaid 1115 waivers for workforce initiatives, shifting federal support away from addressing provider shortages via these programs. This change affects state capacity to invest in Medicaid workforce development.