Tag: CMS

CMS Launches MAHA ELEVATE Model to Fund Chronic Disease Prevention Initiatives

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 Launches $500M Rural Health Transformation Program

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 with Site-neutral and Transparency Updates

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.

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.