Tag: CMS

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.

CMS Sets Medicaid Work Requirements For Expansion Adults Effective 2027

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

Rising U.S. Healthcare Costs Threaten Economic Stability and Insurance Affordability

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.

Medicare Excludes Coverage for High-Cost Obesity Drugs Under CMS Policy

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

CMS Indefinitely Suspends Nursing Home Ownership Reporting Amid PECOS Technical Issues

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 Leadership at CMS Gains Positive Attention Among Policymakers

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

CMS Introduces Two Medicare Models Elevating Lifestyle Medicine and Value-Based Care

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 Launch ACCESS and TEMPO Pilots to Enhance Tech-Enabled Chronic Care for Medicare

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.