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Press Releases

CMS Moves to Rein In Misused Medicaid Dollars and Reward Quality Care

CMS Moves to Rein In Misused Medicaid Dollars and Reward Quality Care Proposed Rule Caps Excessive State Payment Practices, Potentially Saving Taxpayers More Than $775 Billion Over 10 Years The Centers for Medicare & Medicaid Services (CMS) proposed today a sweeping crackdown on state Medicaid Read more about CMS Moves to Rein In Misused Medicaid Dollars and Reward Quality Care
Fact Sheets

Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments Proposed Rule (CMS-2449-P)

Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments Proposed Rule (CMS-2449-P) The Centers for Medicare & Medicaid Services (CMS) believes that Medicaid recipients in both managed care and fee-for-service (FFS) delivery systems deserve Read more about Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments Proposed Rule (CMS-2449-P)
Fact Sheets

HHS Notice of Benefit and Payment Parameters for 2027 Final Rule

HHS Notice of Benefit and Payment Parameters for 2027 Final Rule Introduction Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), issued the “HHS Notice of Benefit and Payment Parameters for 2027; Basic Health Program” final rule Read more about HHS Notice of Benefit and Payment Parameters for 2027 Final Rule
Press Releases

CMS Final Rule Lowers Costs, Cracks Down on Fraud, and Expands State Control

CMS Final Rule Lowers Costs, Cracks Down on Fraud, and Expands State Control The Centers for Medicare & Medicaid Services (CMS) issued a sweeping rule to strengthen oversight of the Affordable Care Act (ACA) Exchanges for plan year 2027 by lowering user fees, tightening eligibility verification, and Read more about CMS Final Rule Lowers Costs, Cracks Down on Fraud, and Expands State Control
Press Releases

CMS Announces Early Adopters to Advance Solutions for Electronic Prior Authorization, Accelerating Momentum Ahead of 2027 Requirements

CMS Announces Early Adopters to Advance Solutions for Electronic Prior Authorization, Accelerating Momentum Ahead of 2027 Requirements The Centers for Medicare & Medicaid Services (CMS), through its Health Tech Ecosystem, is advancing its electronic prior authorization efforts through a newly Read more about CMS Announces Early Adopters to Advance Solutions for Electronic Prior Authorization, Accelerating Momentum Ahead of 2027 Requirements
Press Releases

CMS Announces Aggressive Nationwide Crackdown on Fraud with Six-Month Hospice and Home Health Agency Enrollment Moratoria

CMS Announces Aggressive Nationwide Crackdown on Fraud with Six-Month Hospice and Home Health Agency Enrollment Moratoria Action Builds on Administration’s Whole-of-Government Effort to Crush Fraud and Protect Medicare In coordination with Vice President JD Vance’s Anti-Fraud Task Force, the Centers Read more about CMS Announces Aggressive Nationwide Crackdown on Fraud with Six-Month Hospice and Home Health Agency Enrollment Moratoria