CMS releases new guidance for states on implementing Medicaid community engagement and eligibility reforms under the Working Families Tax Cut legislation to promote sustainability and efficiency.

CMS Administrator Dr. Mehmet Oz provides weekly healthy snacking tips to federal employees, highlighting wellness strategies within a major healthcare agency overseeing coverage for 160 million Americans.

H.R. 5371 temporarily extends key Medicare telehealth flexibilities through January 2026, restoring pandemic-era policies and directing CMS to update claims processing guidance.

GAO report exposes broker fraud in ACA Marketplace. CMS's enforcement and oversight shortcomings prompt Congressional inquiry into fraud prevention and consumer protection.

ACA individual health insurance enrollment for 2026 lags last year amid uncertain extension of premium tax credits. Congressional debate over subsidies impacts market dynamics and premiums.

SMBC365 unveils a Revenue Cycle Management initiative designed to help medical providers counteract the proposed 7% cut in CMS Medicare reimbursements, focusing on billing and revenue optimization.

Senator Bill Cassidy demands transparency from AMA over CPT coding system royalties and licensing fees amidst CMS payment cuts, raising concerns on healthcare reimbursement and costs.

CMS is proposing major reforms to Medicare Advantage Star Ratings to address administrative measure concerns raised in industry lawsuits. These changes could impact plan quality assessments and compliance.

Explore recent US developments on federal drug price negotiation expansion to commercial plans, DEA telehealth prescribing extensions, the 340B rebate pilot launch, and ACA subsidy debates in the Senate impacting insurance and healthcare markets.

GAO report uncovers extensive fraud in ACA marketplace with fake identities approved for subsidies, highlighting regulatory challenges as premium subsidies face congressional debate.