Company
U.S. federal agency that administers Medicare, Medicaid, and HealthCare.gov, overseeing health coverage programs and insurance marketplace rules.
Medicare open enrollment runs through Dec. 7 for coverage that starts Jan. 1, with the Part D out-of-pocket cap rising to $2,400 from $2,100. A 3.6% Social Security raise worth about $75 a month starts in the same year, so enrollees can weigh the new cap against it.
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Humana said 95% of its Medicare Advantage members will be in plans rated four stars or higher in 2027, up from 20%, and its shares rose 15% premarket. Lower ratings had cut its federal bonuses and its 2026 earnings target, qz.com reported, so the stock now depends on how much of that money the 2027 ratings bring back.
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FDA officials hosted at least 35 industry groups at an unannounced February session on patient chatbots, after inviting them in a CMS Slack chat room. The guidance it informs will cover every patient-chatbot maker, including firms left outside the room.
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CMS has proposed narrowing Medicare's markup on 340B-discounted drugs, whose payments rose $3.6 billion after the Supreme Court ended a lower rate in 2022. An author at HHS argues in STAT that the markup grows with each drug's price and can leave a patient's coinsurance above what the hospital paid.
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Self-funded employer plans added 1.1 million members in the year to June as the ACA individual market shrank 17.2 percent, Mark Farrah Associates data show. That growth meets Marsh's projection of an 8.2 percent rise in 2027 benefit costs, the largest since 2003.
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Donald Trump's $5,000 'Trump Dividend' would cost about $1.2 trillion and needs Congress to pass it after a Republican sweep on Nov. 3. The $90 Medicare rebates due around Oct. 8 come from a fund that already holds the money, so only one of the two checks is paid for.
Perspective Coverage
7 publishersReality
Trump is mailing $500 checks to more than 950,000 HealthCare.gov enrollees in 30 states who buy coverage without subsidies, each with a signed letter. Landing a month before the midterms, it turns a federal user-fee surplus into campaign-season messaging.
Perspective Coverage
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Pennyforge found that CMS's Provider Data Catalog, the one federal list of hospital price-file URLs, is gone from data.cms.gov after the 2026-09-29 rebuild. Price pipelines now start from dated third-party trackers and depend on a few vendor hosts.
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President Trump's executive order requires online federal services with more than 100,000 users a year to integrate with the America.gov chatbot. It asks for that "as soon as possible", so the only dates on the table are the targets announced at Tuesday's launch.
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Six Republican-led states will require provider proof of medical frailty when Medicaid work rules start in January, a year ahead of the federal schedule. The first cost lands on new applicants who cannot afford the doctor visit that proof requires.
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CMS says AI avatars and AI nurses can help absorb nearly $1 trillion in Medicaid cuts. The Maine systems already running ambient scribes report better documentation and steadier clinicians, and no reduction in cost.
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Noxtua's Series C runs past 100 million euros and gives C.H.BECK a qualified majority, while five earlier backers, among them CMS, Dentons and Global Brain Corporation, leave a company built on publishers' data.
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A study of 37,368 plants and 5,304 U.S. House elections from 1991 to 2016 finds abatement spending 47% higher in narrowly Democratic districts, with multi-plant firms letting emissions rise at their facilities elsewhere.
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The new tier system sorts diagnoses by how likely they are to prevent work, so an ALS case clears automatically while a diabetes case with no recent admissions goes to individual review. States have about 16 weeks.
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A STAT opinion piece sets NIH's 13% award rate beside Medicaid's shift to twice-yearly renewals to argue both losses will arrive through documentation, though only the Medicaid half comes with a measured denominator.
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Expanding nutrition coaching and produce prescriptions runs through dietitians, whose mean pay sits roughly $40,000 below adjacent clinical licenses and whose intake has been contracting since well before the 2024 master's mandate.
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The Bridge pilot prices by FDA label rather than medical need, routing sicker patients back to Part D copays. KFF's own math assumes three of four eligible people never enroll.
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A 2026 JAMA Surgery analysis shows surgical obesity care losing a third of its volume in two years. The spend has not vanished; it has moved to the pharmacy benefit, where coverage decides who gets treated.
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Wet DBA enforcement resumed in 2025, serious-fault penalties returned in January 2026, and wage-tax assessments reach back 24 months. Classification is now a balance-sheet item.
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