CMS's CY 2026 Home Health Prospective Payment System Final Rule incorporates industry advocacy, easing payment cuts but challenges remain amid rising costs and evolving Medicare Advantage models.

MedPAC recommends a 4% cut to Medicare payment rates for skilled nursing facilities in 2027, analyzing post-acute care trends and reimbursement impacts on providers.

CMS's 2027 Proposed Rule introduces major Medicare Advantage and Part D program reforms including Star Ratings revisions, risk adjustment data access expansion, marketing rules relaxation, and new special enrollment periods for provider terminations.

Comprehensive analysis of 2026 Medicare Advantage plan availability, coverage changes, insurer market dynamics, and implications for beneficiaries and providers in the U.S.

CMS launches the ACCESS Model, a 10-year test of outcome-aligned payments for Medicare FFS chronic care using technology-supported services, enhancing care coordination and quality outcomes.

CMS initiates the ACCESS Model, a 10-year voluntary program testing outcome-based payments for Medicare fee-for-service providers, enhancing integrated, tech-supported chronic care.

Federal court upholds CMS's star rating methods after Humana challenges foreign language interpreter test policy, impacting Medicare Advantage market competition and insurer revenues.

Rural hospitals in New Hampshire face growing financial losses due to increased Medicare Advantage enrollment, driven by lower reimbursements and administrative complexities, impacting patient care and hospital operations.

The 2025 Medicare Trustees Report projects Hospital Insurance trust fund depletion by 2033, with increasing Medicare costs impacting beneficiaries and taxpayers. Explore implications for Medicare policy and finance.

CMS proposes 2.4% Medicare payment increase for outpatient and surgery centers in 2026 with a new two-tier physician payment model to promote value-based care participation, amid concerns over long-term financial sustainability for providers.