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.
CMS Launches New Verification Process to Enhance Medicaid and CHIP Integrity
CMS introduces a new verification process for Medicaid and CHIP to ensure enrollee eligibility, safeguard taxpayer funds, and enhance program integrity with state-level review and enforcement.
CMS Data and State Audits Expose Fraud Risks in Medicaid and Obamacare Exchanges
New CMS data and state audits reveal rising fraud risks and improper payments in Medicaid and Obamacare exchanges, prompting regulatory reforms to enhance program integrity and protect taxpayer funds.
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.