The calendar year 2026 Medicare Physician Fee Schedule proposed rule would advance primary care management through new quality measures, reduce waste and unnecessary use of skin substitutes, and introduce a new payment model focused on improving care for chronic disease management.
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HHS Secretary Kennedy and CMS Administrator Oz press conference on securing industry pledges to fix the broken Prior Authorization System. They met with insurance leaders of nearly 80% of covered Americans.
The goal is to unlock the power of modern technology to help seniors and their families take control of their health and well-being, manage chronic conditions, and access care more efficiently.
From KFF Health News Network – Their latest podcast, What the Health, Members of Congress are back in Washington, and Republicans are facing hard decisions on how to reduce Medicaid spending, even as new polling shows that would be unpopular among their voters.
The following is communication from the Centers for Medicare & Medicaid Services (CMS) on upcoming deadlines.
By Sue O’Connell – Mark Nay’s first client had lost the van she was living in and was struggling with substance use and medical conditions that had led to multiple emergency room visits. Nay helped her apply for Medicaid and food assistance and obtain copies of her birth certificate and other identification documents needed to apply for housing assistance.
By Arielle Zionts – Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers.
By Lauren Barca, MHA, RN – The headlines for 2025 Medicare, Medicaid, and dual-eligible programs are rife with concerns about proposed changes. While those worries were certainly a topic of discussion at AHIP’s recent Medicare, Medicaid, Duals, and Commercial Markets Forum in Baltimore, Maryland, they weren’t the only story.
By Jim Tate – Medicare has a long history of taking bold actions. In 2003 electronic claims submission was mandated. In 2011, CMS established the EHR Incentive Programs to promote the adoption and meaningful use of certified electronic health record technology.