INSURASALES

Tag: CMS

CMS Proposes 2026 Medicare Telehealth Enhancements Including Behavioral Health and Remote Monitoring

CMS's 2026 Physician Fee Schedule proposal advances Medicare telehealth with expanded behavioral health codes, remote monitoring updates, and virtual Diabetes Prevention Program delivery, shaping long-term digital care integration.

CMS Medicare Learning Network Web-Based Training Supports Provider Education

CMS offers a range of Medicare Learning Network web-based training courses for providers covering billing, coding, fraud prevention, and compliance. Courses are self-paced but do not provide continuing education credits. Subscribe to MLN Connects® for updates.

CMS Launches Health Data Sharing Initiative With Major Tech Firms

Trump administration's new health data sharing initiative involves major tech companies to improve patient access to health records, focusing on interoperability, AI-driven tools, and data privacy concerns.

CMS Expands Medicare Payment Reforms and Medicaid Financing Overhaul

CMS releases 2026 Medicare payment reforms focusing on site-neutral payments, alongside Medicaid financing reforms in the One Big Beautiful Bill and updates on Part D bids influenced by the Inflation Reduction Act.

CMS Launches WISeR Model to Cut Overuse in Medicare with AI-Driven Prior Authorization

CMS introduces the WISeR Model pilot program leveraging AI-driven prior authorization to reduce Medicare overuse and fraud in six states from 2026-2031.

CMS Narrows Medicare Custody Definition to Expand Coverage Access in 2025

CMS finalized a 2024 rule narrowing Medicare custody to physical confinement, expanding Medicare coverage for community-supervised individuals starting 2025.

$50B Rural Health Transformation Program Faces Implementation and Funding Challenges

The $50 billion Rural Health Transformation Program aims to strengthen rural health care but faces challenges in implementation and funding amid federal Medicaid cuts, impacting states, providers, and rural communities.

CMS Proposes 2.4% Medicare Payment Increase and New Two-Tier Physician Reimbursement Model for 2026

CMS proposes 2.4% Medicare payment increase for outpatient and surgery centers in 2026 with a new two-tier physician payment model to promote value-based care participation, amid concerns over long-term financial sustainability for providers.

CMS Launches Hospital Drug Acquisition Cost Survey Under Executive Order to Inform Medicare Payment Adjustments

CMS initiates survey collecting hospital outpatient drug acquisition costs to align Medicare payments with actual costs under the 2026 OPPS update, following a federal Executive Order to reduce prescription drug expenses.

Dr. Oz Links Healthy Eating to Medicare during 60th Anniversary Interview

Dr. Mehmet Oz discussed the role of healthy eating in sustaining Medicare during the program's 60th anniversary, highlighting the intersection of preventive health and insurance policy.