CMS

CMS Must Expand Obesity Care for Seniors in Medicare Part D

Washington D.C. – Between 2017 and 2020, nearly half of all Americans were living with obesity, a complex and chronic disease that has serious health implications. However, the Centers for Medicare and Medicare Services (CMS) has come under scrutiny for not providing coverage for comprehensive obesity care, including anti-obesity medications in Medicare Part D. This has led to a growing call for expanded obesity care and access to effective treatments for this widespread health issue. …

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CMS Releases Final Rule Making Affordable Care Act Marketplace Changes for Texas Families

Austin, Texas – The Centers for Medicare and Medicaid Services (CMS) have recently implemented changes to the Affordable Care Act (ACA) Marketplace through their latest final rule, titled “Notice of Benefit and Payment Parameters for 2025.” These changes are aimed at benefiting Texas families who rely on health plans governed by the ACA, with full implementation set for the 2025 plan year, and more complex adjustments rolling out by 2027. Texans are in need of …

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Week in Review: CMS Issues Proposed Payment Rules for Psychiatric Facilities, Skilled Nursing Facilities, and Hospice Providers

Wilmington, DE – This week, the Centers for Medicare & Medicaid Services (CMS) has been busy issuing proposed and final rules that will impact various healthcare providers across the country. One of the significant highlights is the proposed FY 2025 payment rules for inpatient psychiatric facilities (IPF), skilled nursing facilities (SNF), and hospice providers. Additionally, CMS finalized rules focused on streamlining Medicaid enrollment processes and limiting short-term, limited duration insurance (STLDI). The Food and Drug …

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Enrollment and Renewal Simplified for CHIP Coverage Under New CMS Rule

Washington, D.C. – The Centers for Medicare & Medicaid Services (CMS) has implemented a final rule aimed at streamlining the enrollment and renewal processes for the Children’s Health Insurance Program (CHIP). The new rule, set to take effect in 60 days, will provide eligible adults and children with increased protections under CHIP and Medicaid, originally established by the Affordable Care Act. One significant change included in the final rule is the elimination of waiting periods …

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Medicare Fraud Under Scrutiny as Senators Demand Full Audit of CMS

Indianapolis, Indiana – Senator Mike Braun of Indiana, along with other Republican senators, is calling for a full audit of Medicare due to recent reports of increasing fraud targeting the program. The senators, including Rick Scott of Florida and JD Vance of Ohio, have expressed concerns over the growing number of sophisticated fraud schemes impacting Medicare, such as online phishing and international fraud rings. The call for an audit comes after reports of a catheter …

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