Changes to Medicare Advantage in 2027
The Centers for Medicare & Medicaid Services finalized changes to Medicare Advantage and Medicare Part D. The majority of these
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CMS
Understanding Medicaid Cost Sharing and Policy Changes from the 2025 Reconciliation Law
(Authors: Anna Mudumala and Jennifer Tolbert for The Kaiser Family Foundation Published: May 21, 2026) The 2025 reconciliation law makes
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IRMAA surprises
The Income-Related Monthly Adjustment Amount (IRMAA) is not a penalty, but rather a pricing structure. IRMAA was created under the
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CMS to cap state Medicaid payments to save $775B: 7 things to know
(By: Alan Condon for Becker’s Hospital Review ) CMS on May 20 proposed a rule that would cap certain state
Read MoreEroding ACA Enrollment Portends Higher Insurance Rates
(By Julie Appleby for KFF Health News) Enrollment in the Affordable Care Act continues to erode as some customers struggle
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Proposed modernization of the Medicare Savings Programs
To simplify access to the Medicare Savings Programs (MSPS), the Aging & Disability Health Policy Lab has drafted four model
Read MoreCMS taps 30 healthcare organizations for prior authorization initiative
(By: Naomi Diaz for Becker’s Hospital Review ) The Centers for Medicare & Medicaid Services is launching a new initiative
Read MoreCMS 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
Read MoreWhat 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
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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
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