CMS – Page 15 – medicarereport.org

Thursday, December 18, 2025

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CMS Health Care Redesign Medicare - General Medicare Advantage Prior Authorization

Eileen Cook May 1, 2025May 1, 2025 CMS, Healthcare Reform, medicare, Medicare Advantage, Prior Authorization

CMS weighing prior authorization reforms: Report

(By: Andrew Cass for Becker’s Hospital Review) CMS is considering proposals that would cut the number of procedures that are subject

CMS Medicare Advantage

Eileen Cook April 29, 2025April 29, 2025 CMS, Health Risk Assessments, Medicare Advantage, Older Adults

Medicare Advantage Insurers Often Use Rewards and Incentives to Encourage Enrollees to Complete Health Risk Assessments (HRAs)

(By Meredith Freed, Nolan Sroczynski, and Jeannie Fuglesten Biniek for The Kaiser Family Foundation Published: Apr 28, 2025) Beginning in

Affordable Care Act (ACA)CMS Health Insurance Medicaid Medicare - General Women's Health

Eileen Cook April 25, 2025April 25, 2025 ACA, CMS, Health Insurance, Medicaid, medicare, Women's Health

Coverage of Breast Cancer Screening and Prevention Services

(Source – The Kaiser Family Foundation Published: Apr 24, 2025) Among women in the United States, breast cancer is the

Aging CMS Health Care - General Medicaid Medicare - General

Eileen Cook April 25, 2025 CMS, Medicaid, medicare, Older Adults, PACE organizations

CMS fines 3 PACE organizations

(By: Jakob Emerson for Becker’s Hospital Review) On April 11, CMS fined three PACE organizations for failing to meet essential

CMS Dental/Oral Health Health Care Finance Health Insurance Hearing Aids Medicare Advantage

Eileen Cook April 23, 2025April 23, 2025 CMS, Healthcare Costs, Medicare Advantage, Medicare Advantage Dental benefits, Medicare Advantage Supplemental benefits, Medicare Advantage Vision care, Older Adults

A costly mistake for many Medicare Advantage enrollees

A recent study by a leading healthcare system found that people on Medicare Advantage plans are not utilizing dental and

Eileen Cook April 23, 2025April 23, 2025 CMS, DOGE, HHS

DOGE has access to 19 HHS systems: Report

(By: Mackenzie Bean for Becker’s Hospital Review) The U.S. Department of Government Efficiency has access to sensitive information in 19

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

Eileen Cook April 18, 2025April 18, 2025 CMS, FDA, Healthcare Costs, Healthcare Finance, medicare, Medicare Drug Price Negotiation Program, Medicare Part D, Small Molecule Drugs

The Effect of Delaying the Selection of Small Molecule Drugs for Medicare Drug Price Negotiation

(By Juliette Cubanski and Tricia Neuman for The Kaiser Family Foundation Published: Apr 16, 2025) President Trump has just signed

Health Care Finance Health Insurance Medicare Advantage

Eileen Cook April 15, 2025April 15, 2025 CMS, Healthcare Finance, Medicare Advantage, Older Adults, Supplemental Benefits

Medicare Advantage plans spent $38B on supplemental benefits in 2024: 5 notes

(By: Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans spent $38 billion on non-Medicare benefits in 2024, according to a

CMS Health Care Finance Legal Actions/Court Decisions Nursing Homes

Eileen Cook April 15, 2025April 15, 2025 CMS, Healthcare Finance, Nursing Home Staff Minimums, Older Adults

Texas Judge Overturns Controversial Nursing Facility Staffing Rule

(By Priya Chidambaram for The Kaiser Family Foundation Published: Apr 11, 2025) On Monday, April 7, Judge Matthew Kacsmaryk in

CMS Health Care Finance Hospice/Home Health Services LTC Medicare - General

Eileen Cook April 14, 2025April 14, 2025 CMS, Healthcare Finance, Hospice, Inpatient Rehabilitation, LTC, medicare, Psychiatric Hospitals

CMS drops 5 proposed payment rules for 2026: 25 things to know

(By: Alan Condon for Becker’s Hospital Review) CMS has released proposed payment rules for inpatient and long-term care hospitals, hospices