Wednesday, May 13, 2026

Latest:

CMS freezes new hospice, home health enrollments amid fraud crackdown
The power of a trusted voice in helping homeless Veterans
What to Know About the BALANCE Model for GLP-1s in Medicare and Medicaid and the Medicare GLP-1 Bridge
4 recommendations to bring oversight to AI-driven prior auth: MACPAC
Mental health research at VA’s Million Veteran Program

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CMS

Eileen Cook May 13, 2026 CMS, Home Health Services, medicare, Medicare Fraud, Older Adults

CMS freezes new hospice, home health enrollments amid fraud crackdown

(By: Naomi Diaz for Becker’s Hospital Review) The Centers for Medicare & Medicaid Services is imposing a six-month nationwide moratorium

CMS Health Care Finance Medicaid Medicare - General Part D/Prescription Drugs

Eileen Cook May 12, 2026May 12, 2026 CMS, GLP-1 drugs, Healthcare Finance, Medicaid, medicare, Medicare Part D

What to Know About the BALANCE Model for GLP-1s in Medicare and Medicaid and the Medicare GLP-1 Bridge

(Authors: Meredith Freed, Juliette Cubanski, and Elizabeth Williams for The Kaiser Family Foundation Published: May 11, 2026) GLP-1s, a class

CMS Health Care Finance Legal Actions/Court Decisions Medicare Advantage Part D/Prescription Drugs

Eileen Cook May 7, 2026May 7, 2026 CMS, CMS Fines, Medicare Advantage, Medicare Part D, Older Adults

CMS issues another round of Medicare Advantage fines to 13 health plans

(By: Jakob Emerson for Becker’s Hospital Review) CMS has fined 13 health plans a combined $1.5 million for Medicare Advantage

CMS Health Care Finance Health Insurance Medicaid Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook May 7, 2026May 7, 2026 Healthcare Costs, Healthcare Finance, Medicaid, medicare, Medicare Advantage, Medicare Part D

That Discount at the Pharmacy Counter May Pack Hidden Costs

(By Rachel Spears for KFF Health News) Next time you go to the pharmacy, you might be offered a coupon

CMS Health Care Finance Medicare - General Part D/Prescription Drugs

Eileen Cook May 6, 2026May 6, 2026 CMS, GLP-1 drugs, Healthcare Costs, medicare, Medicare Part D, Older Adults

A New Medicare Option for Weight Loss Drugs: What Older Americans Should Know

(By Jackie Fortiér for KFF Health News) Starting in July, Medicare beneficiaries may be able to get a GLP-1 prescription

CMS Direct Primary/Concierge Care Health Care Finance Health Insurance

Eileen Cook May 5, 2026May 5, 2026 CMS, Direct-to-consumer, Health Insurers, Healthcare Costs, Healthcare Finance

Health insurers’ ‘direct-to-consumer’ push: 5 notes

(By: Elizabeth Casolo for Becker’s Hospital Review) Healthcare more broadly has been focused on reaching consumers where they are at.

CMS Health Care Finance HHS Medicaid Medicare - General Medicare Advantage

Eileen Cook May 4, 2026May 4, 2026 CMS, Medicaid, medicare, Medicare Advantage, Older Adults

Changes to the Medicare Advantage Program Enhance Some Consumer Protections But Roll Back Others

(Authors: Meredith Freed, Alex Cottrill, Jeannie Fuglesten Biniek, and Tricia Neuman for The Kaiser Family Foundation Published: May 1, 2026)

CMS Consumer Data

Eileen Cook May 4, 2026May 4, 2026 CMS, Medicare Advantage, Older Adults, Provider Directory

CMS’ Medicare provider directory released Social Security numbers: Washington Post

(By: Elizabeth Casolo for Becker’s Hospital Review) A publicly accessible database powering CMS’ Medicare Advantage provider directory exposed Social Security

CMS DHS -OIG Health Care Finance Medicare - General Virtual Reality