GAO Report Uncovers Widespread Fraud in ACA Marketplace Subsidies
GAO investigation reveals extensive fraud in ACA marketplace subsidies, including fake identities and misuse of Social Security numbers leading to billions in improper payments.
Medicare Telehealth Flexibilities to End January 2026 Without Congressional Extension
CMS confirms that Medicare's pandemic-era telehealth expansions will end January 2026, impacting access to virtual care for millions of beneficiaries.
Medicare Advantage 2026: Enrollment Changes, Cost Increases, and Reduced Coverage Areas
Explore 2026 Medicare Advantage updates including enrollment, rising costs, and shrinking plan availability due to insurer withdrawals in multiple U.S. counties.
CMS 2026 Medicare OPPS and ASC Final Rule Advances Site-Neutral Payments and Expands Price Transparency
CMS finalizes 2026 Medicare outpatient payment rule with expanded site-neutral payments, enhanced hospital price transparency, and telehealth supervision provisions affecting hospitals and ASCs nationwide.
CMS Indefinitely Suspends Off-Cycle Skilled Nursing Facility Revalidation Deadline
CMS indefinitely suspends skilled nursing facility provider enrollment revalidation deadline, altering compliance landscape and emphasizing ongoing disclosure obligations for facilities undergoing ownership changes.
CMS Launches ACCESS Model to Advance Technology-Enabled Chronic Care
CMS launches the ACCESS Model, a 10-year initiative to enhance chronic disease management for Medicare beneficiaries through technology and outcome-based payments.
Navigating Regulatory Complexities of Data Exchange in Value-Based Care
Explore the regulatory frameworks influencing data exchange in value-based care, including CMS rules, HIPAA, and state requirements. Understand operational challenges in healthcare data governance.
CMS Launches MAHA ELEVATE Model to Fund Lifestyle Medicine in Medicare
CMS introduces the MAHA ELEVATE Model to finance lifestyle and functional medicine interventions in Original Medicare, targeting chronic disease prevention and cost reduction.
GAO Report Highlights Persistent ACA Enrollment Fraud Despite 2024 Reforms
A 2024 GAO report reveals ongoing challenges with unauthorized ACA plan enrollments and plan-switching fraud despite new CMS safeguards, emphasizing the need for stronger identity verification and regulatory measures.
Wyoming Seniors Face Rising Medicare Costs Amid Growing Affordability Concerns
Medicare premiums and deductibles will rise in Wyoming next year, intensifying financial pressures on fixed-income seniors despite a Social Security increase. Learn how these changes affect affordability and senior healthcare access.