Tag: Healthcare Policy

CMS Proposes Medicare Advantage Star Ratings Changes for 2027

CMS proposes 2027 Medicare Advantage star ratings changes, removing Health Equity Index, adding depression screening measure, and refining enrollment policies to enhance care quality and plan comparisons.

Medicare Advantage Growth in Dialysis Patients Raises Care and Policy Challenges

Rising Medicare Advantage enrollment among dialysis patients following the 21st Century Cures Act presents new challenges in care coordination, provider access, and regulatory oversight, impacting insurers and policymakers.

Understanding the Role of Subsidies in Affordable Care Act Insurance

This analysis explains how ACA subsidies make health insurance affordable by capping participant costs at 8.5% of income and supporting those above 400% of the federal poverty level. It discusses the challenges and compromises of the ACA in the U.S. insurance market.

Medicare Open Enrollment Deadline Approaches for 70M Beneficiaries

Nearly 70 million Medicare beneficiaries face the approaching open enrollment deadline. Learn how to navigate Medicare.gov for enrollment and potential cost savings.

HHS Ends Longstanding Public Comment Requirement, Drawing Industry Concern

The Department of Health and Human Services ends the Richardson Waiver, impacting public notice and comment in healthcare rulemaking. Industry groups express concerns over transparency and stakeholder engagement.

CMS Proposes 2027 Medicare Advantage Rule Updates on Star Ratings, Risk Adjustment, and Reporting

CMS released 2027 proposed Medicare Advantage rules focusing on simplifying Star Ratings, expanding risk adjustment data use, and streamlining reporting requirements.

CMS Finalizes CY 2026 OPPS-ASC Rule with Key Medicare Reimbursement Updates

CMS releases the Calendar Year 2026 OPPS-ASC Final Rule, impacting Medicare reimbursement rates for hospital outpatient services, radiopharmaceuticals, and 340B drug pricing.

House Democratic Leader Urges Extension of ACA Tax Credits Amid Rising Healthcare Costs

House Democratic Leader Hakeem Jeffries calls for bipartisan support to extend Affordable Care Act tax credits to prevent rising healthcare costs for millions of Americans as the expiration deadline nears.

Congress Faces December Deadlines on Funding and ACA Subsidies

December legislative session focuses on government funding bills and expiring Affordable Care Act subsidies with bipartisan challenges impacting millions of Americans.

CMS Ends Kidney Care Payment Model, Updates Home Health and Chronic Care Initiatives

CMS will end the kidney care payment model early and adjust Medicare home health reimbursements in 2026. A new 10-year program supports tech adoption for chronic disease management.