New Federal Law Caps Medicaid Payments, Threatens Rural Hospitals
New federal law caps state-directed Medicaid payments, a move critics warn could devastate rural hospitals already under financial strain.
CMS
Most Medicare Advantage Enrollees Face Limited Plan Choices in Concentrated Markets
A new KFF study shows most Medicare Advantage beneficiaries are in highly concentrated markets with limited insurer options, leaving little consumer choice.
Nebraska Eliminates Developmental Disabilities Waitlist Through State-Funded Service Expansion
Nebraska ends its I/DD waitlist ahead of schedule, expanding access to Medicaid-funded home- and community-based services through $18 million in state and federal funding.
CMS Proposes 6.4% Cut to Medicare Home Health Payments for 2026
CMS proposes a 6.4% reduction in Medicare payments to home health agencies for 2026, raising concerns about access to care and financial stability in the sector.
CMS Moves to Rein In Medicaid Spending on Programs Not Directly Tied to Healthcare Services
CMS announced it will stop approving Medicaid matching funds for state programs not directly linked to healthcare, aiming to preserve the integrity of the Medicaid partnership.
Expansion of The Certified Community Behavioral Health Centers (CCBHC) Model Aimed at Transforming Mental Health Care
In this blog, we’ll explore the origins of the CCBHC model, how it has been implemented, recent expansions, and the benefits it brings.
Biden-Harris Administration Launches VBP Initiative to Boost Kidney Transplant Access
CMS has introduced a new rule to improve access to kidney transplants and enhance care quality, part of a six-year mandatory initiative by CMS aiming to increase efficiency and access nationwide.
Uncertainty in Home Health Care with CMS ‘Overpayment’ Clawbacks Looming
Home health providers face uncertainty as CMS clawbacks loom, with billions in potential repayments impacting the industry’s financial stability.
CMS Expands AHEAD Model to Include New York and Rhode Island
CMS announces the addition of Rhode Island and parts of New York to the AHEAD Model, expanding efforts to improve healthcare outcomes and manage spending across six states.
Medicare Shared Savings Program Reports $2.1 Billion in Savings for 2023
The Centers for Medicare & Medicaid Services (CMS) has announced a 0.5% increase in home health payments for 2025 alongside deeper permanent cuts, sparking debate among healthcare providers.