Tag: Healthcare Regulation

Key Developments in Skilled Nursing, Medicare Advantage Reforms, Medicaid Hearing Aid Coverage, and Alzheimer’s Care

Explore recent updates on skilled nursing care value, Medicare Advantage regulatory reforms, Medicaid hearing aid coverage expansion, and Alzheimer's treatment benefits impacting U.S. insurance and long-term care markets.

US Drug Pricing Negotiations, Telehealth Flexibilities, 340B Pilot, and ACA Subsidies Update

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.

CMS Announces 9.7% Medicare Part B Premium Increase for 2026

CMS announces a 9.7% increase in Medicare Part B premiums for 2026, affecting individuals earning $109,000 or less. Updates on oncology drug reimbursement and legal challenges to the CMS 340B drug rebate pilot program highlight shifting dynamics in Medicare regulation and healthcare compliance.

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.