Tag: CMS

CMS Excludes Oxygen and CPAP Supplies from 2026 Medicare Competitive Bidding

CMS excludes supplemental oxygen and CPAP devices from 2026 Medicare competitive bidding, preserving access to respiratory therapies for 1.5M Americans amid policy reforms.

CMS Proposes Major Changes to Medicare Advantage and Part D for 2027

CMS's 2027 Proposed Rule introduces major Medicare Advantage and Part D program reforms including Star Ratings revisions, risk adjustment data access expansion, marketing rules relaxation, and new special enrollment periods for provider terminations.

2026 Medicare Physician Fee Schedule Updates: Efficiency and Payment Reforms

Explore key 2026 Medicare Physician Fee Schedule updates, including efficiency adjustments, practice expense reforms, and impacts on primary care and subspecialties under CMS policies.

Congress Extends Medicare Telehealth Flexibilities Post-Government Shutdown

The 2025 appropriations act retroactively extends Medicare telehealth flexibilities through January 2026, ensuring provider reimbursement and clear CMS guidance after the federal government shutdown.

CLEAR Secures CMS Contract to Integrate CLEAR1 Identity Platform into Medicare.gov

CLEAR partners with CMS to integrate the CLEAR1 secure identity platform into Medicare.gov, enhancing identity verification, reducing fraud, and improving access for Medicare beneficiaries starting early 2026.

CMS Restores Medicare Telehealth Flexibilities Post-Federal Shutdown through Jan 2026

CMS retroactively restores Medicare telehealth flexibilities for services during the recent federal shutdown, ensuring claims from Oct 1, 2025, through Jan 30, 2026, are processed without lapse in coverage or reimbursement.

CMS Seeks Input on 2027 Medicare Advantage, Part D, and Cost Plan Regulatory Updates

CMS requests public comments on 2027 proposed regulatory changes to Medicare Advantage, Part D, and Cost Plan programs to streamline compliance and reduce administrative burdens.

CMS Reaffirms Federal Preemption Over Medicare Advantage Broker Compensation

CMS memo confirms federal law supersedes state regulation of Medicare Advantage broker compensation and marketing, impacting insurer practices and legal disputes.

CMS 2026 Updates Expand Community Health Integration Provider Eligibility and Initiating Visits

CMS's 2026 Physician Fee Schedule rule expands eligible providers and initiating visits for Community Health Integration services, enhancing behavioral health integration and reimbursement pathways.

CMS Finalizes 2026 Medicare Physician Fee Schedule with Key Updates for Osteopathic Doctors

CMS finalized the 2026 Medicare Physician Fee Schedule and Quality Payment Program rule, including updates on conversion factor and MIPS thresholds impacting osteopathic physicians.