Medicare IRMAA
IRMAA stands for Income-Related Monthly Adjustment Amount. It is an extra surcharge applied to Medicare Part B and Part D
Read More
CMS
Is Medicare WISeR model working?
The Medicare WISeR (Wasteful and Inappropriate Service Reduction) Model is a six-year Medicare initiative, starting January 1, 2026, that uses
Read MoreTracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements
(Source – The Kaiser Family Foundation published June 18, 2026) The 2025 reconciliation law, once called the “One Big Beautiful
Read More
CMS recalculates MA star ratings payments in wake of Clover lawsuit
(By: Elizabeth Casolo for Becker’s Hospital Review) CMS is “voluntarily recalculating” 2027 Medicare Advantage quality bonus payment ratings, based on
Read More
Medicare will disappear
The 2026 Medicare Trustees Report is projecting that the Medicare Part A Hospital Insurance trust fund will be depleted in
Read MoreKey Facts about the Uninsured Population
Authors: Jennifer Tolbert, Sammy Cervantes, Clea Bell, and Anthony Damico for The Kaiser Family Foundation Published: June 16, 2026) The
Read MoreForthcoming Policy Changes to Medicaid State Directed Payments
(Authors: Alice Burns, Elizabeth Hinton, Scott Hulver, Jessica Mathers, and Robin Rudowitz for The Kasier Family Foundation Published: Jun 15,
Read More
6 recent Medicare Advantage fraud settlements
(By: Jakob Emerson for Becker’s Hospital Review) Federal enforcement around Medicare Advantage risk adjustment and billing has ramped up over
Read MoreBacked by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
(By Sarah Jane Tribble and Arielle Zionts for KFF Health News) In Maine, state health officials hoped to steer a
Read More
‘Who watches the watchmen?’ CMS tightens oversight of accrediting bodies — 8 things to know
(By: Mackenzie Bean for Becker’s Hospital Review) CMS published a final rule June 12 to increase oversight of the nine
Read More