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...
CMS outlines tweaks to ACO REACH for 2026 performance year
The Centers for Medicare & Medicaid Services (CMS) revealed several updates to the ACO REACH program in 2026, though the...
CMS may add Part B drugs to negotiations under draft guidance
The Trump administration has issued new draft guidance for the third cycle of Medicare drug price negotiations. The proposals seek...
‘Watching the clues’: Uncertainty clouds Medicare conference
Medicare agents and brokers are trying to get a handle on a rapidly changing health landscape, but, in some respects,...
CMS finalizes 5.06% Medicare Advantage benchmark increase
The Centers for Medicare and Medicaid Services (CMS) finalized an increase of the average benchmark payments to Medicare Advantage (MA)...
CMS excludes anti-obesity drug coverage under Medicare, Medicaid
The Centers for Medicare and Medicaid Services (CMS) finalized a Medicare Advantage (MA) rule proposed by the Biden administration, but...
Brooks-LaSure warns ‘cavalier’ CMS cuts endanger health programs
Former Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure is not buying the Trump administration’s claim health programs...
AMA asks CMS to lay off MIPS pay cuts amid IV fluid shortages
The American Medical Association (AMA) has petitioned the Centers for Medicare & Medicaid Services (CMS) not to inflict financial penalties...
Dr. Oz questioned over Medicaid cuts, promises MA reforms
Mehmet Oz, M.D., or Dr. Oz, faced a wide-ranging set of questions from lawmakers over how he would run the...
