Tag: Healthcare Regulation

CMS Proposes 2027 Updates to Medicare Advantage and Part D Star Ratings

CMS has proposed key 2027 updates to Medicare Advantage and Part D Star Ratings aiming to streamline quality measures and modernize enrollment options to enhance care and plan accountability.

CMS Medicare Drug Price Negotiations Yield $12B Savings on 15 High-Cost Medications

CMS announces $12 billion savings from Medicare drug price negotiations on 15 high-cost medications, effective 2027, enhancing Medicare Part D sustainability.

CMS Proposes Major 2027 Medicare Advantage and Part D Updates Following Inflation Reduction Act

CMS's 2027 proposed rule outlines key Medicare Advantage and Part D program updates, codifying Inflation Reduction Act changes, adjusting Star Ratings, and modernizing marketing and risk adjustment frameworks.

OIG Finds Medicare Overpaying for Continuous Glucose Monitors; Recommends Payment Cuts

OIG report identifies Medicare overpayments for continuous glucose monitors and urges CMS to reduce payment rates, highlighting potential savings.

Georgia 2026 Laws Update: Insurance Affordability, Tax Cuts, and Regulatory Changes

Explore Georgia's key 2026 legislative changes impacting insurance affordability, state income tax reductions, consumer protections, teledentistry, property regulations, and more.

CMS Proposes Key Changes to Medicare Advantage Star Ratings and Regulatory Streamlining for 2027

CMS releases 2027 Medicare Advantage and Part D proposed rule focusing on Star Ratings adjustments, regulatory burden reduction, and program spending projections.

CMS Proposes Major Medicare Advantage and Part D Program Updates for 2027

CMS proposes significant updates to Medicare Advantage and Part D programs for 2027, including Star Ratings revisions and increased quality bonuses, impacting Medicare spending and compliance.

Humana Appeals CMS Over Medicare Advantage Star Ratings Dispute

Humana appeals CMS over Medicare Advantage star ratings, contesting calculation methods and evaluation processes affecting bonuses and plan ratings.

Hospitals Sue HHS Over 340B Pilot Program Changes

Hospitals challenge HHS's 340B pilot shifting drug discounts to a rebate system, citing financial risks and regulatory concerns.

CMS to Revise Medicare Hospital Payment Weights Using Market-Based Data for FY2029

CMS plans to change Medicare hospital payment weights methodology using Medicare Advantage data starting FY2029, impacting hospital reimbursement and clinical documentation.