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CMS Releases Final Guidance for Initial Price Applicability Year 2028

CMS Releases Final Guidance for Initial Price Applicability Year 2028 and Manufacturer Effectuation of the Maximum Fair Price in 2026, 2027, and 2028 Final guidance addresses how drugs payable under Medicare Part B will be eligible for negotiation, requirements and process for renegotiation The Read more about CMS Releases Final Guidance for Initial Price Applicability Year 2028
Press Releases

Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2026

Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2026 The Centers for Medicare & Medicaid Services (CMS) is announcing that average premiums, benefits, and plan choices for Medicare Advantage (MA) and the Medicare Part D prescription drug program are expected Read more about Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2026
Press Releases

CMS Launches Landmark $50 Billion Rural Health Transformation Program

New Federal Program Aims to Transform Rural Health Care Nationwide Today, the Centers for Medicare & Medicaid Services (CMS) unveiled details on how states can apply to receive funding from the $50 billion Rural Health Transformation Program created under the Working Families Tax Cuts Act to Read more about CMS Launches Landmark $50 Billion Rural Health Transformation Program
Press Releases

CMS Issues Guidance to Strengthen Oversight of Medicaid State Directed Payments

CMS Issues Guidance to Strengthen Oversight of Medicaid State Directed Payments New federal payment limits to combat fraud, waste, and abuse while preserving access to care The Centers for Medicare & Medicaid Services (CMS) is issuing preliminary guidance for states regarding the implementation of Read more about CMS Issues Guidance to Strengthen Oversight of Medicaid State Directed Payments
Press Releases

HHS Expands Access to Affordable Health Insurance

HHS Expands Access to Affordable Health Insurance WASHINGTON — The U.S. Department of Health and Human Services (HHS) announced today it is implementing important measures to expand access to more affordable catastrophic health coverage through HHS’ new hardship exemption guidance. This guidance Read more about HHS Expands Access to Affordable Health Insurance
Fact Sheets

Expanding Access to Health Insurance: Consumers to Gain Access to “Catastrophic” Health Insurance Plans in 2026 Plan Year

Overview The Centers for Medicare & Medicaid Services (CMS) is working to expand access to catastrophic health coverage in the Federally-facilitated Exchange (FFE) through additional hardship exemption guidance, specifically designed to help consumers access coverage as a result of the premium Read more about Expanding Access to Health Insurance: Consumers to Gain Access to “Catastrophic” Health Insurance Plans in 2026 Plan Year