Federal Court Halts Key CMS ACA Enrollment Rule Ahead of Implementation
Federal court temporarily blocks key CMS rule on ACA health insurance exchange enrollment and eligibility pending further legal review, creating regulatory uncertainty.
Mayo Clinic Hospitals Earn Top CMS Quality Ratings
Mayo Clinic hospitals received top quality ratings from CMS, with seven earning five stars, highlighting superior performance in mortality, safety, readmission, and patient experience measures.
Federal Judge Blocks ACA Rule Changes Affecting 1.8 Million Insured
A federal judge blocks key ACA regulatory changes that could affect 1.8 million Americans' health insurance, pausing new income verification and premium rules. Legal challenges continue.
Federal Judge Blocks Key Trump-Era ACA Rule Provisions Impacting Coverage
A federal judge blocks major Trump-era ACA provisions that could lead to 1.8 million losing coverage, citing regulatory overreach and increased health costs.
CMS Extends Medicare Revalidation Deadline for Skilled Nursing Facilities to 2026
CMS extends the Medicare off-cycle revalidation deadline for skilled nursing facilities to January 1, 2026, maintaining the existing requirements. Providers should prepare to comply to avoid Medicare participation disruptions.
CMS Medicare Advantage Star Ratings: Regulatory Risks and Financial Impacts for Insurers
Explore how CMS's Medicare Advantage Star Rating system's opaque methodologies create regulatory arbitrage and financial risks for insurers like Elevance Health, Humana, and UnitedHealthcare, shaping the healthcare insurance landscape.
Federal Court Upholds CMS Medicare Advantage Star Ratings, Denies Elevance Health Lawsuit
Texas federal judge rules against Elevance Health in lawsuit over Medicare Advantage star ratings, impacting $375 million in bonus revenue. CMS methodologies upheld.
CMS Proposes 6.4% Medicare Payment Cuts to Home Health Agencies for 2026
CMS proposes a 6.4% cut in 2026 Medicare payments to home health agencies, driven by PDGM budget neutrality adjustments and expanding Medicare Advantage enrollment. HHAs must assess financial impacts, advocate, and optimize operations.
CMS Grants NTAP for Renata Medical's Pediatric Minima Stent System
CMS approves New Technology Add-on Payment for Renata Medical's Minima stent, enabling enhanced reimbursement for innovative pediatric congenital heart disease treatment.
CMS Proposes Major 2026 Medicare Rule Changes Affecting Inpatient Care and Outpatient Surgery
CMS 2026 outpatient rule proposes major changes including inpatient-only list elimination and expanded ambulatory surgery center procedures, impacting Medicare payment and compliance.