Docs say Medicare payment rates continue to pressure finances
Physicians are asking for greater certainty around Medicare reimbursement, arguing that compounding payment decreases over time have drastically increased the...
Medicare ACOs saved $2.4B in 2024, setting a new program record
Accountable care organizations saved Medicare $2.4 billion last year, according to new federal data. The Centers for Medicare & Medicaid...
Unite Us CEO Dan Brillman top contender for Medicaid director
Speculation has been swirling about who might take the top Medicaid job in the Trump administration. Among the top contenders:...
New CMS data suggest future ACA market turmoil
The Centers for Medicare & Medicaid Services (CMS) this week released new data fueling a narrative of rampant broker fraud...
CMS warns states of new Medicaid waiver expectations
The Centers for Medicare & Medicaid Services (CMS) is shifting its policy on Section 1115 Medicaid waivers. In letters to...
CMS floats 2.4% annual outpatient, ASC pay bump for CY2026
The Centers for Medicare & Medicaid Services’ annual pay rate proposal for outpatient and ambulatory surgical centers (ASCs) includes a...
Medicaid insurers cleared to text enrollees under Trump’s work requirements law
Tucked inside President Donald Trump’s controversial bill incorporating Medicaid work requirements during his administration is a provision that makes it...
CMS sued over Trump administration’s ACA final rule
Doctors for America, the Main Street Alliance and three cities have sued the Centers for Medicare & Medicaid Services (CMS)...
CMS finalizes rule aimed at ‘improper’ ACA exchange sign-ups
The Centers for Medicare & Medicaid Services (CMS) has finalized a rule that it says will address “the surge of...
AHIP 2025: Insurer coalition vows to fight Trump budget bill to final hour
LAS VEGAS — At AHIP’s annual conference, the trade group told reporters they oppose the reconciliation bill moving through Congress...
