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CMS releases update on post-shutdown provider claims
The Centers for Medicare & Medicaid Services released an updated notice Nov. 20 on the processing of Medicare provider claims impacted by the government shutdown.
CMS releases details on Medicare premiums, deductibles for 2026
The Medicare Part A deductible for inpatient hospital services will increase by $60 in calendar year 2026 to $1,736, the Centers for Medicare & Medicaid Services
Government shutdown ends as President Trump signs funding bill into law
The 43-day government shutdown ended late Nov. 12 when President Trump signed a funding bill into law, hours after the House passed the measure by a 222-209 vote.
Voices on Value: A Conversation with William Shrank, M.D.
Priya Bathija, vice president of AHA’s The Value Initiative, talks with William Shrank, M.D., senior vice president and chief medical officer, Humana, to get his insights on health care affordability, value and the strategies that Humana is using to disrupt health care delivery.
Senate Deal Reached to End Government Shutdown
Over the weekend, senators reached a deal to reopen the government. The agreement includes a three-bill, full-year spending package for 1) the Department of Agriculture and Food and Drug Administration, 2) the Legislative Branch, and 3) the Defense Department construction projects and the Department of Veterans Affairs, as well as a short-term continuing resolution to extend funding for the rest of the government until Jan. 30, 2026.
CMS Issues CY 2026 Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
AHA shares concerns, recommendations with CMS on WISeR model
The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address multiple concerns.
CMS proposes increasing payment rates by 2.6% in CY 2025
The Centers for Medicare & Medicaid Services July 10 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.6% in calendar year 2025 compared to 2024. This includes a proposed 3.0% market basket update, offset by a 0.4 percentage point cut for productivity.
CMS releases guide on prior authorization submissions, determinations under WISeR model
The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and Inappropriate Service Reduction model.