CMS

Key TakeawaysIncreased therapy access could lead to reduced hospitalizations and lower overall healthcare costs. Outcomes-based payments ensure that funding is allocated to treatments...

Key TakeawaysSignificant increase in new enrollments indicates rising awareness and trust in Marketplace plans. State-specific initiatives contribute to tailored healthcare solutions, addressing local...

The Biden-Harris Administration has introduced significant proposals aimed at improving the Medicare Advantage and Medicare Part D programs. These initiatives are designed to enhance...

The Centers for Medicare & Medicaid Services (CMS) has unveiled a comprehensive set of proposed changes for Contract Year 2026, aiming to enhance the...

The Centers for Medicare & Medicaid Services (CMS) has solidified its commitment to combating opioid addiction by making Medicaid coverage for Medications for Opioid...

User Usable Inferences - Healthcare providers can receive extra Medicare payments for using EXPAREL and iovera from January 2025. - The NOPAIN Act is a legislative...

As the Open Enrollment period for the Health Insurance Marketplace approaches, the Centers for Medicare & Medicaid Services (CMS) is doubling down on efforts...

The Centers for Medicare & Medicaid Services (CMS) has rolled out a series of significant updates and proposals aimed at enhancing healthcare policies and...

Key TakeawaysCMS has introduced robust measures to prevent unauthorized activities by agents and brokers in the Federally-facilitated Marketplaces (FFMs) and State-based Exchanges on...

Key TakeawaysThe 2025 Star Ratings for Medicare Advantage (MA) and Part D plans are now available, offering seniors a clear evaluation of healthcare...

Key TakeawaysData management will play a central role in the upcoming overhaul of the account transfer functionality between Medicaid, CHIP, and federal Marketplace...

Key TakeawaysPrescription drug costs are being targeted by the Biden-Harris administration through the $2 Drug List Model, offering Medicare beneficiaries essential generic medications...

Key TakeawaysDrug price negotiations within Medicare are being refined with earlier meetings for drug manufacturers and increased opportunities for patient and caregiver input,...

Key TakeawaysThe Biden-Harris Administration’s Medicare Drug Price Negotiation Program is set to expand in its second cycle, aiming to lower prescription drug costs...

Key TakeawaysPrescription drug costs for Medicare Part B beneficiaries will decrease for 54 medications starting October 1, 2024, thanks to the Medicare Prescription...