News

Fierce Healthcare5h
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 ...
Becker's Hospital Review1d
CMS tables GLP-1, AI prior auth policies in Medicare Advantage final rule: 14 things to know
CMS has published its final rule for Medicare Advantage and Part D in 2026, outlining a series of regulatory updates aimed at ...
Fierce Healthcare4d
Medicare Advantage final rule excludes anti-obesity drug coverage under Medicare, Medicaid
The Centers for Medicare & Medicaid Services (CMS) finalized a Medicare Advantage (MA) rule proposed by the Biden ...
Becker's ASC3h
CMS posts Medicare Advantage final rule: 5 things to know
CMS has released its final rule for Medicare Advantage and Part D for 2026, introducing several regulatory changes aimed at improving care coordination and beneficiary protections. While the rule ...
Healthcare Dive5h
Trump’s CMS dramatically raises payments to Medicare Advantage plans
The 5.1% benchmark increase is the largest in the past decade, a hike that reflects more recent data capturing cost growth, ...
Medicare and Medicaid will not cover weight loss drugs, Trump administration decides
The Trump administration has decided against implementing a proposal for Medicare and Medicaid to cover weight loss drugs, ...
American Hospital Association21h
CMS finalizes CY 2026 Medicare Advantage, Part D rates
The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare ...
Modern Healthcare3d
CMS punts on Medicare Advantage AI prior authorization, marketing
Medicare Advantage insurers had urged CMS to scrap the obesity drug coverage proposals and eliminate a health equity payment ...
STAT4d
Senate confirms Oz as head of agency that runs Medicare, Medicaid
The Senate Thursday confirmed Mehmet Oz to run the Centers for Medicare and Medicaid Services, an agency within HHS.