Latest Medicare News
Sun 02 Nov 2025
Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F) Medicare Shared Savings Program Changes
Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)Medicare Shared Savings Program Changes
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Sun 02 Nov 2025
Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)
Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that announces final policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2026.The calendar year (CY) 2026 PFS final rule is one of several final rules that re...
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Sun 02 Nov 2025
CMS Modernizes Payment Accuracy and Significantly Cuts Spending Waste
CMS Modernizes Payment Accuracy and Significantly Cuts Spending Waste while Improving Chronic Disease Management for Medicare BeneficiariesThe Centers for Medicare & Medicaid Services (CMS) is increasing quality of care for Medicare beneficiaries while significantly reducing unnecessary spending and promoting payment accuracy. The calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) final rule advances primar...
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Sun 02 Nov 2025
Plan Year 2026 Marketplace Plans and Prices Fact Sheet
Plan Year 2026 Marketplace Plans and Prices Fact Sheet The Health Insurance Marketplace® Open Enrollment Period for plan year 2026 begins on November 1, 2025, and runs until January 15, 2026. The average HealthCare.gov premium after tax credits is projected to be $50 per month for the lowest cost plan in 2026 for eligible enrollees. This represents a $13 increase from 2025. When compared to years prior to the COVID-...
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Sun 02 Nov 2025
CMS Releases Final Guidance for Initial Price Applicability Year 2028
CMS Releases Final Guidance for Initial Price Applicability Year 2028 and Manufacturer Effectuation of the Maximum Fair Price in 2026, 2027, and 2028Final guidance addresses how drugs payable under Medicare Part B will be eligible for negotiation, requirements and process for renegotiation
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