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CMS proposes 2.4% bump to inpatient pay in fiscal 2026, calls for deregulation, MAHA suggestions

by Fierce Healthcare | Apr 11, 2025 | CMS, Industry News

The 2.4% effective pay increase would be below both the 2.6% rate CMS proposed last year and the 2.9% final rate it later landed on. Both were characterized by the hospital industry as inadequate in light of rising expenses. Independent advisors have suggested...

2026 CMS Final Rule: What Agents Need to Know Now

by Agent & Advisor | Mar 12, 2025 | CMS, Industry News

The proposed 2026 CMS Final Rule has the potential to reshape the Medicare landscape, and as licensed agents, you need to prepare now for what may be implemented. A key change that may impact your daily operations is a new mandate requiring pre-approval...

Trump administration slashes funding for ObamaCare outreach program

by The Hill | Feb 14, 2025 | CMS, Industry News

The Centers for Medicare and Medicaid Services (CMS) on Friday announced health insurance navigators will receive just $10 million per year over the next four years. Navigators received $98 million in 2024.  CMS said the cut will allow the exchanges to focus on more...

HealthCare.gov Breaks New Record with 16.6 million Consumers Signing Up for Coverage—the Highest Ever for January 1 Coverage

by CMS | Dec 20, 2024 | CMS, Industry News, OEP

The Centers for Medicare & Medicaid Services (CMS) is committed to a robust Marketplace Open Enrollment process for consumers so they can easily purchase high-quality, affordable health care coverage. CMS reports that a record 16.6 million[1] consumers signed up...

Lower Drug Prices Announced Under Medicare Negotiation Program

by AJMC | Aug 15, 2024 | CMS, Industry News, Medicare

CMS today announced the agreed-upon lower prices for all 10 drugs selected for price negotiations under the Inflation Reduction Act (IRA). These drugs are considered some of the most expensive and frequently dispensed throughout the Medicare program. According to CMS,...

Registration and Training for Marketplace Agents and Brokers

by CMS | Jul 31, 2024 | ACA, CMS, Industry News

Agents and brokers who are new to the Marketplace this year, or who did not complete plan year 2024 registration and training, will be required to take the full Individual Marketplace training for plan year 2025. New agents and brokers can take Individual Marketplace...
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