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...
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CMS may add Part B drugs to negotiations under draft guidance
The Trump administration has issued new draft guidance for the third cycle of Medicare drug price negotiations.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)...
