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BALTIMORE, MD — About 71% of Medicare Advantage enrollees are in health plans rated four stars or higher for 2027, according to federal ratings released October 8 by the Centers …
Medicare Ratings Put 2028 Insurer Bonuses in Focus Read More
WASHINGTON, D.C. — Federal regulators have finalized new healthcare price transparency requirements that will change how insurers disclose negotiated medical rates, require telephone access to personalized cost estimates, and reduce …
CMS Tightens Health Insurance Price Disclosure Rules Read More
WASHINGTON, D.C. — The Federal Trade Commission has warned 24 of the nation’s largest healthcare services companies that withholding or misrepresenting medical prices could violate federal consumer protection law, extending …
FTC Warns 24 Healthcare Companies Over Pricing Disclosures Read More WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services will expand its outcome-based ACCESS payment model in spring 2027 to cover heart failure, chronic obstructive pulmonary disease, substance use …
CMS Expands Outcome-Based Medicare Care to More Conditions Read More
WASHINGTON, D.C. — All 50 states have applied to participate in the Trump administration’s Medicaid drug-pricing model, expanding an effort to tie net prices for selected medicines to prices paid …
Most Favored Nation Drug Pricing Expands Across Medicaid Read More
WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services barred 11 medical-equipment suppliers from future Medicare Advantage and Part D payments after identifying more than $3.4 billion in suspected …
CMS Bars 11 Suppliers Over $3.4 Billion in Suspect Billing Read More
WASHINGTON, D.C. — The federal government is rebranding Individual Coverage Health Reimbursement Arrangements as CHOICE Arrangements and stepping up efforts to steer small employers toward the existing model as an …
SBA Rebrands ICHRAs to Push Health Option for Small Firms Read More WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services said its laboratory-fraud enforcement efforts have prevented or recovered more than $1.6 billion in potentially improper Medicare payments, including $732 …
CMS Says Lab Fraud Crackdown Blocked $1.6 Billion in Payments Read More WASHINGTON, D.C. — Pennsylvania will receive $35 million in federal funding to upgrade medical screening equipment, open additional operating rooms and expand patient transportation in rural communities, part of a …
Pennsylvania Gets $35 Million to Expand Rural Hospital Care Read More WASHINGTON, D.C. — South Dakota will receive $90 million in federal funding to modernize rural health care technology, strengthen cybersecurity and improve information sharing among medical providers, expanding an investment …
South Dakota Gets $90 Million for Rural Health IT Upgrades Read More