Centers for Medicare & Medicaid Services

GLP-1 obesity drug rollout and market expansion

105 clusters · 510 sources · last updated about 9 hours ago

Latest: Novo Nordisk reports pediatric obesity trial success amid market pressure

Novo Nordisk continues to expand its GLP-1 market presence, maintaining approximately a 43% global market share for obesity and diabetes treatments despite competition from Eli Lilly. The oral Wegovy pill remains a prima

Texas Medicaid funding dispute with federal government

3 clusters · 10 sources · last updated 3 days ago

Latest: Texas fights federal freeze of $10 billion in Medicaid funding

Texas hospitals are facing a projected daily loss of $27 million in Medicaid funding due to the federal government withholding approximately $9.8 billion in supplemental funds. The dispute centers on the Comprehensive Ho

US Medicare regulatory and eligibility changes

2 clusters · 4 sources · last updated 5 days ago

Latest: Medicare updates telehealth enrollment and implements provider moratorium

The Centers for Medicare & Medicaid Services (CMS) has introduced several regulatory changes affecting Medicare eligibility, payment rates, and provider enrollment. Proposed rules for 2027 include updates to home health

US Medicare fraud enforcement actions

2 clusters · 5 sources · last updated 5 days ago

Latest: US authorities seek four suspects in $703M Medicare fraud case

Federal authorities in the United States are conducting large-scale enforcement actions to combat Medicare fraud. Efforts include the use of data-driven intelligence through the Fraud Defense Operations Center to block b

US CMS healthcare payment and cost-reduction initiatives

2 clusters · 5 sources · last updated 7 days ago

Latest: Healthcare groups urge CMS to revise 2027 outpatient payment rules

The Centers for Medicare and Medicaid Services (CMS) has introduced new initiatives to improve healthcare delivery and reduce costs. This includes the Learning Insights for Action (LIA) project, a four-year contract with

US administration actions on transgender youth medical care

8 clusters · 79 sources · last updated 8 days ago

Latest: 22 states sue Trump administration over Medicaid gender-affirming care rule

The Trump administration has taken significant legal and regulatory steps regarding gender-affirming care for transgender minors in the United States. In August 2026, the Justice Department moved to drop an appeal seekin

U.S. healthcare prior authorization reform

2 clusters · 2 sources · last updated 11 days ago

Latest: U.S. healthcare systems prepare for 2027 electronic prior authorization mandates

The United States healthcare system faces significant administrative and financial burdens due to prior authorization processes. These processes, used by payers to verify medical necessity, are estimated to cost $35 bill

US No Surprises Act arbitration escalation

2 clusters · 3 sources · last updated 19 days ago

Latest: Healthcare arbitration costs surge as state oversight limits private equity

The Independent Dispute Resolution (IDR) process, established by the No Surprises Act to prevent unexpected medical bills, has experienced a massive surge in volume and cost. While regulators originally projected approxi

US Medicare Part D subsidy termination and cost shifts

4 clusters · 16 sources · last updated 20 days ago

Latest: Medicare faces significant cost and coverage shifts for 2027

In late July 2026, the Centers for Medicare & Medicaid Services (CMS) announced that the temporary premium subsidy for Medicare Part D, introduced in 2024, will be discontinued in 2027. The program, which lowered premium

New York healthcare performance assessments

2 clusters · 2 sources · last updated 22 days ago

Latest: New York hospitals rank among worst in U.S. for patient experience

New York has faced conflicting evaluations regarding its healthcare landscape. An initial study by Nursa ranked the state fifth in the nation for seniors, citing high life expectancy and significant nursing-home capacity

CMS Medicare and Medicaid payment reforms

7 clusters · 19 sources · last updated 29 days ago

Latest: CMS proposes 2027 Physician Fee Schedule updates

Since early July 2026, CMS has rolled out a suite of Medicare and Medicaid payment reforms for FY 2027. Proposed rules for Medicare home health include a 2.4% aggregate increase, offset by a temporary 3% cut to the stand

Trump-era US federal fraud task force

4 clusters · 22 sources · last updated 29 days ago

Latest: White House launches tracker for $230 billion in suspected federal fraud

The Trump administration’s Task Force to Eliminate Fraud, chaired by Vice President JD Vance, has identified approximately $230 billion in suspected improper federal payments since January 2025. During a Cabinet meeting

US health‑insurance loss, ACA decline, prior‑auth reforms

32 clusters · 83 sources · last updated 30 days ago

Latest: Insurers denied 12% to 18% of prior authorization requests, KFF report

Following the expiration of enhanced federal subsidies on December 31, 2025, Affordable Care Act (ACA) enrollment fell in 49 states. Total enrollment dropped to approximately 19.2 million, down from a 2025 peak of 21.8 m