Telehealth waivers expire Oct. 1 as shutdown inches closer
Medicare beneficiaries stand to lose access to two key virtual care programs that the federal government has offered since the...
Federal judge strikes down 2023 risk adjustment rule in win for Medicare Advantage plans
Medicare Advantage (MA) insurers scored a major court win this week when a federal judge struck down a Biden-era regulation...
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)...
