American Hospital Association11h
CMS finalizes CY 2026 Medicare Advantage, Part D rates
The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare ...
McKnight's Long-Term Care News2h
Medicare Advantage plans get big raise, while providers weigh policy gains, losses
On a day when federal regulators announced a big jump in Medicare Advantage payments for fiscal 2026, long-term care stakeholders were still buzzing about provisions of the new MA final technical rule ...
Committee for a Responsible Federal Budget12d
Medicare Advantage Will Be Overpaid by $1.2 Trillion
Because the Centers for Medicare & Medicaid Services (CMS) pays MA plans more for patients who are higher risk, having more ...
Coding differences in Medicare Advantage plans led to $33 billion in excess revenue to insurers, study finds
An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated how ...
American Hospital Association3d
CMS releases final rule for 2026 Medicare Advantage, prescription drug plans
The Centers for Medicare & Medicaid Services April 4 finalized changes to the Medicare Advantage and prescription drug ...
Fierce Healthcare3d
Medicare Advantage final rule excludes anti-obesity drug coverage under Medicare, Medicaid
The Centers for Medicare & Medicaid Services (CMS) finalized a Medicare Advantage (MA) rule proposed by the Biden ...
McKnight's Long-Term Care News1d
UPDATED: Final Medicare Advantage rule gives LTC providers win but removes key AI protections
The Centers for Medicare & Medicaid Services on Friday issued a revised, slimmer Medicare Advantage technical rule for 2026 that does not include new guardrails on plans’ use of artificial ...
South Florida Reporter5h
Private Medicare Plans to Get Big Payment Boost From Trump Administration
Medicare Advantage plans will get a 5.06% rate increase, well above the 2.23% bump that the Biden administration proposed.
Medicare Will Not Cover GLP-1 Drugs for Weight Loss
The decision counters a proposal by the Biden Administration to reimburse beneficiaries for the weight-loss medications.
Modern Healthcare3d
CMS punts on Medicare Advantage AI prior authorization, marketing
Medicare Advantage insurers had urged CMS to scrap the obesity drug coverage proposals and eliminate a health equity payment ...
Becker's Hospital Review20h
CMS tables GLP-1, AI prior auth policies in Medicare Advantage final rule: 14 things to know
CMS has published its final rule for Medicare Advantage and Part D in 2026, outlining a series of regulatory updates aimed at strengthening consumer protections and improving care coordination across ...
EurekAlert!7h
Coding differences in Medicare Advantage plans led to $33 billion in excess revenue to insurers
An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated how much coding differs between insurers and how much extra revenue insurers ...