Unnecessary, Duplicate Enrollment Wasting $14 Billion Annually
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Press Releases
CMS Finds 2.8 Million Americans Potentially Enrolled in Two or More Medicaid/ACA Exchange Plans
Unnecessary, Duplicate Enrollment Wasting $14 Billion Annually The Centers for Medicare & Medicaid Services (CMS) continue to crush fraud, waste, and abuse in America’s healthcare programs by stopping duplicative enrollment in government health programs, with the potential to save taxpayers Read more about CMS Finds 2.8 Million Americans Potentially Enrolled in Two or More Medicaid/ACA Exchange Plans
Press Releases
CMS Reinforces Medicaid and CHIP Integrity by Strengthening Eligibility Oversight and Limiting Certain Demonstration Authorities
The Centers for Medicare & Medicaid Services (CMS) is taking steps to restore accountability and safeguard the long-term integrity of Medicaid and the Children’s Health Insurance Program (CHIP). Through newly issued letters to states, CMS is emphasizing a clear shift away from policies that extend Read more about CMS Reinforces Medicaid and CHIP Integrity by Strengthening Eligibility Oversight and Limiting Certain Demonstration Authorities
Press Releases
CMS Expands Access to Lifesaving Gene Therapies Through Innovative State Agreements
CMS Expands Access to Lifesaving Gene Therapies Through Innovative State Agreements Participating states to test outcomes-based payments for sickle cell disease treatments, improving care while lowering long-term costs The Centers for Medicare & Medicaid Services (CMS) announced today that 33 states Read more about CMS Expands Access to Lifesaving Gene Therapies Through Innovative State Agreements
Fact Sheets
Calendar Year 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule (CMS-1834-P)
Calendar Year 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule (CMS-1834-P) On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that proposes updates to Medicare payment policies and rates for hospital Read more about Calendar Year 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule (CMS-1834-P)
Press Releases
CMS Proposes Bold Reforms to Modernize Hospital Payments, Strengthen Transparency, and Put Patients Back in Control
CMS Proposes Bold Reforms to Modernize Hospital Payments, Strengthen Transparency, and Put Patients Back in Control Proposed rule advances administration’s vision to “Make America Healthy Again” The Centers for Medicare & Medicaid Services (CMS) today issued the Calendar Year (CY) 2026 Hospital Read more about CMS Proposes Bold Reforms to Modernize Hospital Payments, Strengthen Transparency, and Put Patients Back in Control
Press Releases