Major changes to physician payment, quality reporting, and accountable care in Centers for Medicare & Medicaid Services' 2027 proposed rule.
Medicare
A new CMS evaluation shows hospital-led ACOs drove higher Medicare spending in 2023 while physician-led groups generated savings.
The department said the latest investments reflect an ongoing commitment to strengthen the security and reliability of the national health information exchange infrastructure.
A potentially $50 billion proposal to cap traditional Medicare out-of-pocket costs would trigger serious compliance and operational changes across CMS, Medigap, and Medicare Advantage.
Regulators are intensifying efforts to enforce information-blocking rules with potential penalties as high as $1m, in a move to increase transparency and interoperability in healthcare.
Two reports examined prior authorization practices at the three largest Medicare Advantage Organizations across acute care, rehabilitation, and nursing facilities.
Just in time for midterm elections, a new RFI seeks public input on Medicare drug pricing negotiations, inflation-based rebates, and supply-chain oversight.
Ruling nullifies CMS’s expanded oversight of ACA eligibility, halting new verification, enrollment period, and reinstates pre-rule compliance standards for marketplaces.