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Fact Sheets

CMS Moves Closer to Accountable Care Goals with 2025 ACO Initiatives

CMS has made substantial progress on its goal for all people with Traditional Medicare to be in a care relationship with accountability for quality and total cost of care by 2030. As of January 2025, 53.4% of people with Traditional (fee-for-service) Medicare are in an accountable care relationship Read more about CMS Moves Closer to Accountable Care Goals with 2025 ACO Initiatives
Fact Sheets

HHS Notice of Benefit and Payment Parameters for 2026 Final Rule

Introduction The Affordable Care Act (ACA) is more popular than ever: A new report shows that nearly 50 million people – or one in seven Americans – have had ACA Marketplace coverage at some point. And so far, nearly 24 million people have selected plans during the 2025 Open Enrollment Period, which Read more about HHS Notice of Benefit and Payment Parameters for 2026 Final Rule
News Alert

CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of California

The Centers for Medicare & Medicaid Services (CMS) announced today that additional resources and flexibilities are available in response to the 2025 Southern California Wildfires. CMS is working closely with the State of California and federal partners to put these flexibilities in place to ensure Read more about CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of California
Fact Sheets

Draft CY 2026 Part D Redesign Program Instructions Fact Sheet

Today, the Centers for Medicare & Medicaid Services (CMS) released the Draft Calendar Year (CY) 2026 Part D Redesign Program Instructions (the Draft CY 2026 Program Instructions) concurrently with the Advance Notice of Methodological Changes for CY 2026 for Medicare Advantage (MA) Capitation Rates Read more about Draft CY 2026 Part D Redesign Program Instructions Fact Sheet
Fact Sheets

2026 Medicare Advantage and Part D Advance Notice Fact Sheet

Today, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the CY 2026 Advance Notice). CMS will accept comments on the CY 2026 Advance Read more about 2026 Medicare Advantage and Part D Advance Notice Fact Sheet
Press Releases

CMS Releases Proposed 2026 Payment Policy Updates for Medicare Advantage and Part D Programs

Proposed policies would continue to keep Medicare Advantage and Part D stable Today, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Advance Notice for the Medicare Advantage (MA) and the Medicare Part D Prescription Drug Programs that would update payment Read more about CMS Releases Proposed 2026 Payment Policy Updates for Medicare Advantage and Part D Programs