Tag: CMS

ADA Seeks Representative for Medicare CPT Valuation Advisory Role

The ADA invites nominations for a representative to join an AMA advisory committee influencing Medicare payment calculations for dental CPT codes. Learn about the role and impact on dental insurance reimbursement.

CMS Proposes Removing HRA Reporting Requirements for Medicare Part D Coverage

CMS proposes eliminating Medicare Part D creditable coverage reporting for HRAs to reduce employer administrative burden and beneficiary confusion. Learn about implications for insurance compliance and health plan regulations.

FlyteHealth Recognized by CMS for Cardio-Kidney-Metabolic Care Ahead of Medicare ACCESS Model

FlyteHealth is featured by CMS for cardio-kidney-metabolic disease management as part of the upcoming 10-year Medicare ACCESS Model starting in 2026, showcasing scalable virtual care solutions for chronic conditions.

FlyteHealth Selected by CMS for Medicare ACCESS Model in Cardio-Kidney-Metabolic Care

FlyteHealth has been chosen by CMS to participate in the Medicare ACCESS Model, leveraging AI-driven virtual care to manage cardio-kidney-metabolic conditions and improve outcomes for older adults.

CMS Reports 5.76 Million Health Insurance Marketplace Enrollments for 2026

CMS reports nearly 5.76 million enrollments in U.S. health insurance Marketplaces for 2026, including new sign-ups and renewals with detailed state-level insights.

Senators Seek to Block AI-Driven Medicare Prior Authorization Pilot

U.S. Senators propose legislation to halt CMS's AI-driven Medicare prior authorization pilot, citing concerns over care delays and provider burden in six states including Washington.

CMS Releases Official Medicare Cost Figures for 2026

CMS releases official Medicare cost data for 2026 including various payment responsibilities for beneficiaries. Details on premiums and coverage updates.

CMS Finalizes 2026 Medicare Physician Fee Schedule with Reimbursement Increases

CMS released the 2026 Medicare Physician Fee Schedule Final Rule, increasing reimbursement rates after a multi-year decline. The updates provide financial relief to healthcare providers facing rising operational expenses.

CMS Issues Guidance for Medicaid Community Engagement Requirements

CMS unveils new Medicaid community engagement requirements, aligning with federal programs to enhance sustainability and promote work participation among beneficiaries by 2027.

Medicaid Intergovernmental Transfers: Addressing Abuse and Ensuring Fiscal Integrity

Explore Medicaid intergovernmental transfers (IGTs) abuse, federal oversight challenges, and policy reform opportunities to restore Medicaid fiscal integrity and ensure equitable provider payments.