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Managed care

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
Pennsylvania Department of Human Services (DHS)
Pennsylvania

Pennsylvania Announces Selected Applicants for Community HealthChoices Program

August 25, 2024August 24, 2024 - by Maryann Pugh

HARRISBURG, PA — The Department of Human Services (DHS) has announced the selection of applicants who will administer Pennsylvania’s Community HealthChoices (CHC) program. This critical Medicaid managed care initiative serves …

Pennsylvania Announces Selected Applicants for Community HealthChoices Program Read More

United States Capitol
Government / National

Senators Introduce Bill to Expand Access to Comprehensive Care for Seniors

July 26, 2024July 26, 2024 - by Maryann Pugh

WASHINGTON, D.C. — U.S. Senators Bob Casey (D-PA) and Mike Braun (R-IN) have introduced the bipartisan PACE Anytime Act to broaden access to the PACE program. This initiative aims to …

Senators Introduce Bill to Expand Access to Comprehensive Care for Seniors Read More
Centers for Medicare & Medicaid Services
National

CMS Action to Rectify Significant Medicare Billing Anomalies: What You Need to Know

July 5, 2024July 3, 2024 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) has laid out a strategic proposal to tackle issues of significant, anomalous, and highly suspect (SAHS) billing activities within …

CMS Action to Rectify Significant Medicare Billing Anomalies: What You Need to Know Read More

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