A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. 4 would protect beneficiaries from shady broker behavior and modify the federal risk adjustment program, among other changes. Under the Notice of Benefit and Payment Parameters proposed rule (PDF) for the 2026 plan year, insurance agents could be held responsible for marketplace violations. ...
The Biden administration could stand to take a firmer hand on hospital price transparency, especially when it is unclear whether the price data being published are even accurate, the Government Accountability Office (GAO) wrote in a Wednesday report. The Centers for Medicare & Medicaid Services (CMS) has required hospitals to post the prices for numerous ...
Among the blitz of election ads flooding TV, social media and street corners, you won’t see any opposition to a ballot measure proposing to lock in billions of dollars to pay doctors more for treating low-income patients. But opponents of Proposition 35 have a warning even if they don’t have the money to pay for ads: The measure could ...
The Centers for Medicare & Medicaid Services (CMS) rolled out guidance Oct. 2 as stakeholders prep for the second round of the drug price negotiation program. Made possible through the Inflation Reduction Act, the federal government has praised the program, saying it drastically lowers the cost of lifesaving drugs. The negotiation period for the first ...
The healthcare industry is making the push toward greater adoption of value-based care, yet it’s not a secret that progress has been slow-moving. With that backdrop, UnitedHealth Group has released its latest “A Path Forward” report, which is a biennial look at progress in the shift to value. The paper includes dozens of policy recommendations ...
Proposed guidelines for operating Obamacare insurance exchanges in 2026 call for tightening protections against unauthorized actions by agents and brokers who help consumers enroll in coverage. The proposal, released Friday by the Centers for Medicare & Medicaid Services, sets standards for health insurers and ACA marketplaces, as well as requirements for agents, brokers, and others ...