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Managed care

Centers for Medicare & Medicaid Services
National

CMS Targets Medicaid Payment Loopholes in $775 Billion Push

May 25, 2026May 24, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services proposed sweeping restrictions on state Medicaid payment arrangements that federal officials argue have inflated reimbursement rates far above Medicare benchmarks, …

CMS Targets Medicaid Payment Loopholes in $775 Billion Push Read More

Centers for Medicare & Medicaid Services
National

Medicare Shake-Up Cuts Rules, Changes Plan Ratings

April 5, 2026April 4, 2026 - by Maryann Pugh

WASHINGTON, D.C. — Medicare beneficiaries will see changes in how health and drug plans are rated, priced, and administered under a new federal rule aimed at simplifying choices and reducing …

Medicare Shake-Up Cuts Rules, Changes Plan Ratings Read More
Medicare
National

Medicare Rule Overhaul Aims to Cut Costs, Confusion

April 5, 2026April 4, 2026 - by Maryann Pugh

WASHINGTON, D.C. — Medicare beneficiaries could see clearer plan choices, lower prescription drug costs, and fewer administrative hurdles under a new federal rule set to take effect in 2027.

Medicare Rule Overhaul Aims to Cut Costs, Confusion Read More

Centers for Medicare & Medicaid Services
National

Medicare’s ACO Surge Puts 14.3 Million Seniors Into Coordinated Care

February 7, 2026February 7, 2026 - by Maryann Pugh

WASHINGTON, D.C. — The U.S. Centers for Medicare & Medicaid Services said accountable care is reaching a record number of older Americans in 2026, with more than 14 million Medicare …

Medicare’s ACO Surge Puts 14.3 Million Seniors Into Coordinated Care Read More
Centers for Medicare & Medicaid Services
National / Social Services

Medicare Shake-Up: Inside CMS’s Sweeping Plan To Rewrite The Rules For Seniors

November 29, 2025November 29, 2025 - by Maryann Pugh

WASHINGTON, D.C. — The federal government is quietly preparing one of the most sweeping overhauls of Medicare policy in years, advancing a slate of proposed and final rules that could …

Medicare Shake-Up: Inside CMS’s Sweeping Plan To Rewrite The Rules For Seniors Read More

LTC ACO and Third Eye Health Offer Virtual Care Network to Long-Term Care Patients, Facilities and Provider Groups
Business

LTC ACO Distributes $48.7 Million in Shared Savings to Providers

November 12, 2025November 12, 2025 - by Timothy Alexander

KENNETT SQUARE, PA — LTC ACO has completed the full distribution of shared savings payments to its participating providers for the 2024 performance year under the Medicare Shared Savings Program …

LTC ACO Distributes $48.7 Million in Shared Savings to Providers Read More
Centers for Medicare & Medicaid Services
National

Medicare Premiums To Decline in 2026, Open Enrollment Approaches

September 28, 2025September 28, 2025 - by Maryann Pugh

WASHINGTON, D.C. — Average premiums for Medicare Advantage and Medicare Part D prescription drug plans are expected to decline in 2026, the Centers for Medicare & Medicaid Services (CMS) announced …

Medicare Premiums To Decline in 2026, Open Enrollment Approaches Read More

Centers for Medicare & Medicaid Services
National

CMS Issues Guidance on New Medicaid Payment Limits Under Trump Administration Law

September 14, 2025September 14, 2025 - by Maryann Pugh

WASHINGTON, D.C. — Federal health officials issued preliminary guidance to states on how to implement new limits on Medicaid managed care payments, a move the Trump administration says is aimed …

CMS Issues Guidance on New Medicaid Payment Limits Under Trump Administration Law Read More
Centers for Medicare & Medicaid Services
National

HHS and CMS Secure Industry Commitments to Streamline Prior Authorization

June 29, 2025June 29, 2025 - by Maryann Pugh

WASHINGTON, D.C. — U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr., and Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz convened with leaders from the …

HHS and CMS Secure Industry Commitments to Streamline Prior Authorization Read More

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