Proposed CMS rule would set prior auth deadlines for drugs
The Trump administration has issued a proposed rule that aims to significantly overhaul prior authorization for pharmaceuticals. Through the Interoperability...
CMS proposes 2.4% hospital pay increase, mandatory model rollout
The Centers for Medicare & Medicaid Services has proposed a 2.4% payment rate bump for inpatient services for fiscal year...
CMS final rule aims to ax the fax machine, phase out paper mailing
The Centers for Medicare and Medicaid Services (CMS) finalized a rule that aims to phase out fax machines and paper...
Insurers say proposed flat MA rates fail to meet the moment
The Trump administration has proposed flat rates in Medicare Advantage (MA) for 2027, and insurers argue in new commentary that...
Payers sign pledge to join CMMI ACCESS Model
The Medicare ACCESS model will reach 165 million more Americans in other payer markets by 2028, according to an announcement...
CMS could help improve public health data reporting
Quality data is critical to informing public health actions. That’s why every day, state and local health departments analyze and...
CMS unveils states’ Rural Health Transformation Program awards
Texas and Alaska will receive the largest amount of funding from the $50 billion Rural Health Transformation Program in fiscal...
CMS launching payment model to boost access to GLP-1s
The Trump administration has unveiled yet another new payment model, this one focused on the cost of GLP-1 therapies. The...
CMS unveils new model aimed at functional, lifestyle medicine
The Trump administration has unveiled a new payment model that could extend Medicare coverage to functional or lifestyle medicine providers....
FDA introduces TEMPO model to complement CMS ACCESS model
The Food and Drug Administration plans to select about 40 devices not yet cleared by the agency to receive special...
