CMS released 2027 proposed Medicare Advantage rules focusing on simplifying Star Ratings, expanding risk adjustment data use, and streamlining reporting requirements.
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 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.
December legislative session focuses on government funding bills and expiring Affordable Care Act subsidies with bipartisan challenges impacting millions of Americans.
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.
The federal government lowers obesity drug prices and expands Medicare coverage, impacting millions of patients and primary care providers with new access and cost structure.
CMS cuts Medicare home health reimbursement by $220M in 2025, less than the proposed $1B reduction. Providers highlight sustainability concerns under current payment model.
CMS will end the End-Stage Renal Disease Treatment Choices (ETC) model after studies show it did not increase home dialysis or transplant rates among Medicare patients, signaling a shift in U.S. renal care strategies.
CMS finalizes a 1.3% Medicare payment cut to home health agencies for 2026, highlighting industry concerns over reimbursement declines, workforce impacts, and care access challenges.
Congress must resolve the expiration of Affordable Care Act subsidies to prevent sharp health insurance premium increases and address divided Republican and Democratic approaches amid upcoming midterm elections.
