CMS issues new Medicaid work requirements starting 2027 for expansion adults, impacting eligibility, state systems, and coverage stability.

U.S. healthcare spending is projected to reach nearly $9 trillion by 2035, raising concerns over insurance costs, Medicare insolvency, and federal budget impacts. Policy reforms are critical to address these challenges.

The Trump administration's CMS decision excludes costly obesity treatments from Medicare coverage, highlighting challenges in drug pricing and healthcare policy reforms.

CMS has indefinitely suspended federally funded nursing home ownership reporting due to PECOS system issues, delaying the revalidation deadline and advising ongoing data collection. Key updates on regulatory compliance for Medicare and Medicaid providers.

Dr. Oz's tenure at the Centers for Medicare & Medicaid Services has drawn positive reviews, highlighting changes in Medicare and Medicaid policy management.

CMS launches MAHA ELEVATE and ACCESS models to promote lifestyle medicine and value-based care in Medicare, focusing on chronic disease management and cost reduction.

CMS and FDA have initiated the ACCESS Model and TEMPO pilot to expand technology-driven care for Medicare chronic condition patients, focusing on outcomes-based payments and regulatory flexibility.

CMS introduces the MAHA ELEVATE model, a voluntary payment program funding lifestyle medicine interventions not covered by Original Medicare to improve chronic disease prevention.

West Virginia to invest $500 million federal funding from CMS Rural Health Transformation Program to improve rural healthcare access, quality, and economic outcomes by 2030.

CMS finalizes 2026 Medicare OPPS and ASC payment rule introducing site-neutral payments, enhanced price transparency, and updated digital health policies to modernize outpatient care reimbursement.