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Friday, September 11, 2026

Latest:

CMS Health Care Finance Legislative Update Medicaid

Eileen Cook June 16, 2026June 16, 2026 CMS, Healthcare Finance, legislative update, Medicaid, Medicaid State Directed Payments

Forthcoming 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,

CMS Health Care Finance Medicare Advantage

Eileen Cook June 16, 2026June 16, 2026 CMS, Fraud Settlement, Healthcare Finance, Medicare Advantage

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

CMS Health Care Finance Legislative Update Rural Health

Eileen Cook June 16, 2026June 16, 2026 CMS, Healthcare Finance, Rural Health

Backed 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

CMS Medicaid Medicare - General

Eileen Cook June 15, 2026June 15, 2026 Accrediting Organizations, CMS, Compliance, Medicaid, medicare

‘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

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

Eileen Cook June 12, 2026June 12, 2026 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Older Adults

How Medicare Advantage Rebates Disadvantage Medicare’s Stand-Alone Drug Plan Market

(Authors: Juliette Cubanski, Jeannie Fuglesten Biniek, Meredith Freed, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 11, 2026)

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

Eileen Cook June 12, 2026June 12, 2026 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Older Adults

Medicare Part D Enrollment, Premiums, and Cost Sharing in 2026

(Authors: Juliette Cubanski and Anthony Damico for The Kaiser Family Foundation Published: Jun 11, 2026) The Medicare Part D program

CMS Health Care Finance Medicare - General

Eileen Cook June 10, 2026June 10, 2026 CMS, Healthcare Finance, medicare

Medicare Part A trust fund depletion date

Medicare Part A hospitalization trust fund will be depleted in 2033, according to the 2026 Medicare Trustees’ report. However, the

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

Eileen Cook June 9, 2026June 9, 2026 CMS, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Older Adults

Medicare Advantage in 2026: Enrollment Update and Key Trends

(Authors: Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 5, 2026)

CMS Health Care Finance Medicaid Medicare - General Medicare Advantage Medigap Part D/Prescription Drugs Prior Authorization

Eileen Cook June 8, 2026June 8, 2026 CMS, Healthcare Costs, Healthcare Finance, Medicaid, medicare, Medicare Advantage, Medicare Part D, Older Adults

Medicare Advantage in 2026: Premiums, Out-of-Pocket Limits, Supplemental Benefits, and Prior Authorization

(Authors: Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman for The Kaiser Family Foundation Published: Jun 5, 2026)

CMS DHS -OIG Health Care Finance HHS Medicare Advantage

Eileen Cook June 5, 2026June 5, 2026 CMS, Coding Abuses, Healthcare Finance, medicare, Medicare Advantage, Upcoding

Coding abuses and Medicare Advantage Payment

The U.S. Department of Health and Human Services Office of Inspector General’s new report found Medicare may have overpaid Medicare