House Appropriations Committee takes aim at CMS’ WISeR pilot
A key legislative panel voted Tuesday to bar the Centers for Medicare & Medicaid Services from spending funds on a...
Final ACA rule adds further uncertainty to market in flux
The Trump administration recently finalized a major regulation governing the Affordable Care Act’s marketplaces, and community health plans are raising...
CMS pulls back limits on non-standard ACA plans in final rule
The Trump administration has finalized annual regulations governing the Affordable Care Act’s exchanges, including a plan that would pull back...
On Capitol Hill, hospital CEOs give ground on site neutrality
Health system CEOs faced an airing of grievances Tuesday from House Ways and Means Committee members over rising healthcare costs...
CMS, FDA unveil RAPID program for breakthrough medical devices
The Trump administration unveiled a new program to speed up Medicare coverage for breakthrough devices, touting that the new pathway...
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...
