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CMS Issues Rate Announcement and Final Rule for CY 2026 Medicare Advantage, Prescription Drug Plans

The Centers for Medicare & Medicaid Services (CMS) earlier this month released its rate announcement and final rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly for contract year (CY) 2026.
Member

White House Memo Orders Temporary Pause on Federal Grants, Loans and Other Financial Assistance Programs

The White House Office of Management and Budget (OMB) late last night issued a memo directing federal agencies to temporarily pause federal grants, loans and other financial assistance programs implicated by President Trump’s recent executive orders.
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Transforming Episode Accountability Model (TEAM) Final Rule

The Centers for Medicare & Medicaid (CMS) Aug.
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CMS Finalizes Medicare Appeal Rights for Certain Changes in Patient Status

The Centers for Medicare & Medicaid Services (CMS) Oct. 11 released a final rule establishing appeals processes for certain Medicare beneficiaries who initially are admitted as hospital inpatients but subsequently reclassified as outpatients receiving observation services.
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New Medicare Advantage Question and Complaint Process for Provider Organizations

The Centers for Medicare & Medicaid Services (CMS) has published a
Member

Medicare Physician Fee Schedule Proposed Rule for CY 2025

The Centers for Medicare & Medicaid Services (CMS) July 10 issued its physician fee schedule (PFS) proposed rule for calendar year (CY) 2025.