Unnecessary, Duplicate Enrollment Wasting $14 Billion Annually
CMS Finds 2.8 Million Americans Potentially Enrolled in Two or More Medicaid/ACA Exchange Plans
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2025 Quality Conference Highlights
The Centers for Medicare & Medicaid Services (CMS) hosted the 2025 Quality Conference, July 1-2, convening healthcare leaders, clinicians, researchers, and patient advocates from across the country. This year’s theme—“Make American Healthy: Improving Health Outcomes Through Prevention, Quality, and Read more about 2025 Quality Conference Highlights
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CMS Finds 2.8 Million Americans Potentially Enrolled in Two or More Medicaid/ACA Exchange Plans
Unnecessary, Duplicate Enrollment Wasting $14 Billion Annually The Centers for Medicare & Medicaid Services (CMS) continue to crush fraud, waste, and abuse in America’s healthcare programs by stopping duplicative enrollment in government health programs, with the potential to save taxpayers Read more about CMS Finds 2.8 Million Americans Potentially Enrolled in Two or More Medicaid/ACA Exchange Plans
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CMS Reinforces Medicaid and CHIP Integrity by Strengthening Eligibility Oversight and Limiting Certain Demonstration Authorities
The Centers for Medicare & Medicaid Services (CMS) is taking steps to restore accountability and safeguard the long-term integrity of Medicaid and the Children’s Health Insurance Program (CHIP). Through newly issued letters to states, CMS is emphasizing a clear shift away from policies that extend Read more about CMS Reinforces Medicaid and CHIP Integrity by Strengthening Eligibility Oversight and Limiting Certain Demonstration Authorities
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CMS Expands Access to Lifesaving Gene Therapies Through Innovative State Agreements
CMS Expands Access to Lifesaving Gene Therapies Through Innovative State Agreements Participating states to test outcomes-based payments for sickle cell disease treatments, improving care while lowering long-term costs The Centers for Medicare & Medicaid Services (CMS) announced today that 33 states Read more about CMS Expands Access to Lifesaving Gene Therapies Through Innovative State Agreements
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Calendar Year 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule (CMS-1834-P)
Calendar Year 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule (CMS-1834-P) On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that proposes updates to Medicare payment policies and rates for hospital Read more about Calendar Year 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule (CMS-1834-P)
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