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aha.org /1 month ago

CMS finalizes policy and technical changes to Medicare, MA, Part D for CY 2027

The Centers for Medicare &amp; Medicaid Services April 2 released a final rule on policy and technical changes to Medicare Advantage, the Medicare Prescription Drug Benefit Pro...

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aha.org /1 week ago

CMS issues proposed rule on Medicaid supplemental payments

The Centers for Medicare &amp; Medicaid Services May 20 released a proposed rule&nbsp;that would&nbsp;modify&nbsp;policies governing Medicaid state-directed payment...

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aha.org /1 month ago

CMS announces data release on health care utilization and prices

The Centers for Medicare &amp; Medicaid Services April 2 announced the release of new data on health care utilization and prices at the provider and service level in open, mach...

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aha.org /3 weeks ago

CMS announces electronic prior authorization initiative

The Centers for Medicare &amp; Medicaid Services yesterday announced a new electronic prior authorization initiative as part of its Health Technology Ecosystem. CMS Administrat...

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aha.org /1 month ago

CMS finalizes Medicare Advantage rates for CY 2027

The Centers for Medicare &amp; Medicaid Services April 6 released the Medicare Advantage and Part D Rate Announcement for calendar year 2027. The rate announcement finalized a...

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medcitynews.com /2 weeks ago

CMS Halts New Medicare Enrollment for Hospice, Home Care Amid Fraud Crackdown

CMS imposed a six-month nationwide freeze on new Medicare enrollments for hospices and home health agencies as part of a broader crackdown on fraud in the sectors. The post CMS Ha...

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natlawreview.com /1 month ago

Election Year Politics and Policy at CMMI: What Stakeholders Can Expect

Key Takeaways CMS’ Innovation Center is accelerating new payment and care delivery models as the Trump administration uses CMMI to advance health policy priorities. Current models...

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wishtv.com /2 weeks ago

Medicare halts new provider enrollment amid fraud concerns

(CNN) — The Centers for Medicare and Medicaid Services announced Wednesday that it is placing a six-month moratorium on new enrollment of health providers in Medicare — its latest...

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wishtv.com /2 weeks ago

Medicare halts new provider enrollment amid fraud concerns

(CNN) — The Centers for Medicare and Medicaid Services announced Wednesday that it is placing a six-month moratorium on new enrollment of health providers in Medicare — its latest...

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aha.org /1 month ago

CMS highlights new digital health ecosystem tools

The Centers for Medicare &amp; Medicaid Services April 9 held a demonstration showcasing the first series of products intended to push the health care industry toward a more co...

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ccf.georgetown.edu /2 weeks ago

CMS Weaponizes Fraud Against Medicaid in California

For the second time in the 60-year history of the Medicaid program, a CMS deferral of federal matching funds has been announced by the Vice President of the United States at a Whit...

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ccf.georgetown.edu /1 month ago

Long-Standing State-Based Efforts to Combat Fraud Against Medicaid Continue to Improve

CMS Administrator Dr. Oz has been on a veritable press tour trumpeting the supposed rampant fraud in Medicaid and other government programs, which nationally he claims could add up...

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aha.org /4 weeks ago

CMS launches clinical laboratory fee schedule reporting module for data collection

The Centers for Medicare &amp; Medicaid Services has begun collecting private payor rate data through its Fee-for-Service Data Collection System Clinical Lab Fee Schedule Modul...

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aha.org /1 month ago

CMS releases proposed rule establishing electronic standards for drug prior authorizations

The Centers for Medicare &amp; Medicaid Services April 10 released a proposed rule that would establish electronic standards for drug prior authorizations. Building on a 2024 f...

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jdsupra.com /1 week ago

CMS Imposes Nationwide Moratoria on New Medicare Enrollments of Hospices and Home Health Agencies

The Centers for Medicare and Medicaid Services (CMS) has imposed immediate nationwide moratoria on the initial Medicare enrollment of hospices and home health agencies (HHAs), incl...

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natlawreview.com /2 weeks ago

CMS Announces Nationwide Moratoria on Medicare Enrollment of Home Health Agencies

As part of an effort to crack down on publicized fraud, the Centers for Medicare and Medicaid Services (CMS) announced on May 13, 2026, a nationwide moratoria on new Medicare enrol...

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ccf.georgetown.edu /2 days ago

CMS Triples Harmful Impact of HR 1 Medicaid Provider Cuts in State Directed Payment Proposed Rule

Massive Overreach will Undermine Access to Health Care for People Covered by Medicaid Last week, on May 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released a pr...

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natlawreview.com /2 weeks ago

CMS Announces Nationwide Moratoria on New Medicare Enrollment for Hospices, Home Health Agencies

On May 13, 2026, the Centers for Medicare and Medicaid Services (CMS) announced an aggressive nationwide crackdown on fraud—with the start of six-month moratoria on new Medicare en...

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fiercehealthcare.com /2 weeks ago

CMS pauses hospice, home health Medicare enrollments in fraud crackdown

The Trump administration has issued a six-month moratorium on hospice and home health agencies enrolling in Medicare as part of its efforts to combat fraud.

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jdsupra.com /1 month ago

CMS Directs States to Audit and Revalidate Medicaid Providers

The federal government is escalating its crackdown on Medicaid fraud and every state has been placed on notice. On April 21, Centers for Medicare & Medicaid Services (CMS) A...

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savingadvice.com /3 weeks ago

CMS Federal System Alert: How a Recent Medicare Portal Issue Exposed Some Provider Identification Data in 2026

A federal system designed to help seniors find doctors is now raising serious questions about data security. In 2026, a Medicare portal managed by the...

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fiercehealthcare.com /2 weeks ago

CMS to withhold $1.3B in Medicaid funds from California, puts state officials on notice about fraud

Just hours after the Trump administration announced action against fraud in the hospice and home health spaces, Vice President JD Vance put state regulators on notice that the feds...

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aha.org /1 month ago

CMS, FDA announce pathway to expedite access to certain medical devices for Medicare beneficiaries

The Centers for Medicare &amp; Medicaid Services and the Food and Drug Administration April 23 announced a new pathway to expedite access to certain FDA-designated Class II and...

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executivegov.com /1 month ago

CMS Rolls Out Digital Health Tools to Advance Patient-Centered Care

The Centers for Medicare & Medicaid Services has launched the first wave of its HealthTech Ecosystem tools, introducing new digital capabilities designed to modernize healthcar...

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