CMS Finalizes 2026 Updates for Medicare Advantage and Part D Programs
CMS issued final rules and updates for Medicare Advantage and Part D programs for 2026, including Inflation Reduction Act implementations and inpatient care protections.
Trump Administration Pushes to Make Medicare Advantage Default for All Enrollees
The Trump administration is advancing plans to make Medicare Advantage the default enrollment for all Medicare recipients, raising concerns about beneficiary choice and increased costs to taxpayers.
Conservative Proposals Could Accelerate Medicare Advantage Enrollment Shift
Explore how conservative proposals to alter Medicare enrollment could boost Medicare Advantage participation, impacting program costs and market dynamics.
Federal Cuts Shrink ACA Caseworker Teams Amid Growing Enrollment and Complexity
Federal workforce reductions have eliminated two ACA caseworker divisions, increasing resolution delays amid record 24 million ACA enrollees and upcoming regulatory changes.
CMS Fines Three PACE Organizations for Service and Documentation Failures
CMS fines three PACE organizations totaling $142,788 for failure to meet essential service and documentation requirements, highlighting compliance challenges in managed care programs.
Federal Workforce Cuts Strain ACA Caseworker Support Amid Upcoming Regulatory Changes
Federal workforce reductions within CMS are cutting ACA caseworker staff, risking delays in resolving coverage issues amid upcoming ACA regulatory changes. The strain impacts consumer support and marketplace stability.
CMS ACA Caseworker Reductions Signal Longer Resolution Times Amid Policy Changes
CMS has cut two ACA caseworker teams amid federal staff reductions, risking longer resolution times for 24 million enrollees and raising concerns about fraud and policy change impacts.
Federal Cuts Reduce Caseworker Support for ACA Enrollees Amid Policy Changes
Federal workforce cuts have reduced caseworker support for ACA enrollees, complicating resolution of health coverage issues as new rules increase complexity.
CMS Releases 2026 Final Rule for Medicare Advantage and Part D Programs
CMS finalizes key aspects of the 2026 Medicare Advantage and Part D programs rule, including expanded insulin coverage, payment plans, and new pharmacy requirements for network participation.
Medicare Pay Cuts Threaten Primary Care Access Amid Doctor Shortages
Medicare's ongoing pay cuts strain primary care physicians, intensifying doctor shortages and risking access to care for the growing senior population. Increased audits and complex billing compound challenges, pushing some doctors out of Medicare.