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.
Hospices confront rising operational costs, increased audits, and potential Medicare Advantage coverage changes in 2025, impacting hospice care delivery and financial sustainability.
CMS finalizes key aspects of the 2026 Medicare Advantage and Part D programs rule, including expanded insulin coverage, payment plans, and new pharmacy requirements for network participation.
CMS increases 2026 Medicare Advantage reimbursement rates to 5.06%, easing insurer pressures while adjusting policies on obesity drug coverage and billing practices.
