The CMS plans to request greater authority from the White House to ensure Medicare Advantage plans have adequate provider networks. Currently, the agency has limits on how frequently it can review plans for compliance with federal standards.
President Donald Trump's administration has ended Affordable Care Act contracts that brought assistance into libraries, businesses and urban neighborhoods in 18 cities, meaning shoppers on the insurance exchanges will have fewer places to turn for help signing up for coverage.
Despite promises to shift more regulatory autonomy to the states, the Trump administration is letting some controversial Obama-era Medicaid managed-care rules stand.
The CMS allegedly made more than $729 million in incentive payments to providers who shouldn't have received them. But that kind of waste is almost run of the mill.
A new government analysis estimated that the House-passed American Health Care Act would reduce insurance coverage by 13 million —10 million less than the Congressional Budget Office's prediction.
The CMS has proposed requiring private accreditors like the Joint Commission to release reports publicly. But these accreditors dislike the rule, arguing it won't improve transparency and it'll be costly to implement.
Providers are hoping CMS will move forward with its proposed six-month delay for home health agencies to implement a final rule aimed at improving their operations and patient care.
Indiana has become the latest state to seek to add a work requirement to Medicaid eligibility. It's one of six states that are planning to ask or have asked the Trump administration for this waiver.
Many long-term care providers may not be prepared to meet CMS emergency preparedness requirements—the cost of which is estimated at $370 million the first year.
Insurers say a move by the Trump administration was enough of an olive branch to keep some on the ACA insurance exchanges.
CareCore National, a healthcare utilization management company, has agreed to pay $54 million to settle allegations it fraudulently billed the CMS.
It's time to check in with the governing party to see how its plan to replace Obamacare is progressing.