CMS Raises 2026 Medicare Advantage Reimbursement, Adjusts Drug Coverage Policies
CMS increases 2026 Medicare Advantage reimbursement rates to 5.06%, easing insurer pressures while adjusting policies on obesity drug coverage and billing practices.
CMS Advances Healthcare Interoperability, Administrative Burden Reduction Initiatives
CMS drives healthcare efficiency with initiatives like the HL7 FHIR Connectathon, Oklahoma directory pilot, HIPAA updates, and new prior authorization rules for Medicare and Medicaid.
Trump Administration Proposes One-Third Cut to HHS Budget with Major Agency Restructures
The Trump administration's 2026 draft budget proposes a one-third reduction in HHS funding, affecting NIH, CDC, CMS, and rural health programs, with key agency restructures and policy shifts.
Democratic Governors Challenge Proposed Federal Rule Restricting State Health Insurance Marketplaces
Democratic governors oppose Trump-era CMS rule limiting state control over ACA health insurance marketplaces, citing disruption to enrollment, eligibility, and essential benefits coverage.
Federal Budget Cuts Pose Risks to Medicare, Medicaid and Rural Hospitals in Arizona
Federal budget cuts targeting Medicare and Medicaid create challenges for Arizona's healthcare system, threatening rural hospitals and vulnerable populations dependent on AHCCCS coverage.
CMS Confirms Major Changes to Medicare Advantage Policies for 2026
Discover the latest changes in Medicare Advantage policies announced by CMS for 2026, highlighting new compliance standards and efforts to improve healthcare integration and quality.
CMS Issues Transformative Final Rule for Medicare Programs Effective 2026
The CMS final rule effective 2026 will modernize Medicare Advantage and Part D, enhancing drug coverage and establishing more robust regulatory frameworks.
Governors Oppose CMS Rule Over Health Insurance Marketplace Standards
Governors from five U.S. states have challenged a new CMS rule that could alter health insurance marketplace regulations, emphasizing potential risks to coverage and state authority.
CMS Finalizes 2026 Medicare Advantage and Part D Policies, Boosts Payments
CMS has finalized 2026 policies for Medicare Advantage and Part D, including significant payment increases and improved risk adjustment models, aimed at enhancing healthcare quality for U.S. seniors.
Dr. Oz Unveils Medicare Agenda Focused on Transparency and Fraud Prevention
Discover Dr. Mehmet Oz's agenda for CMS emphasizing price transparency, fraud prevention, and healthcare modernization under the Make America Healthy Again initiative.