[ORGANIZATION]
Centers for Medicare & Medicaid Services
Featured in 99 tracked stories · first seen
Situations
US CMS nursing home staffing initiative
2 clusters · 7 sources · last updated
Latest: CMS launches $275 million nursing recruitment program
The Centers for Medicare & Medicaid Services (CMS) has launched the ‘Nurses for Nursing Homes’ initiative, a $275 million program aimed at recruiting and retaining nursing professionals in long-term care facilities. The
US Medicare and health insurance enrollment for 2027
13 clusters · 58 sources · last updated
Latest: Medicare Open Enrollment: Key Deadlines and Fraud Prevention
As the 2027 health insurance cycle approaches, beneficiaries face rising costs and shifting coverage landscapes. The Annual Enrollment Period (AEP), running from October 15 through December 7, allows enrollees to modify
Novo Nordisk pivots strategy to counter patent cliff
112 clusters · 548 sources · last updated
Latest: Novo Nordisk faces intense competition in obesity drug market
Novo Nordisk is implementing a strategic reset to address long-term growth concerns and the looming patent expiration of semaglutide in the early 2030s. To diversify its portfolio and counter competition from Eli Lilly,
Advancements in kidney disease treatment and care models
2 clusters · 6 sources · last updated
Latest: Developments in Chronic Kidney Disease treatment and value-based care
Recent developments in nephrology highlight progress in both therapeutic interventions and healthcare delivery. Clinical trial data presented at ASN Kidney Week 2026 indicate significant efficacy for new treatments. In t
US Medicare Advantage enrollment and cost shifts
6 clusters · 24 sources · last updated
Latest: Medicare Advantage plans facing widespread closures for millions of seniors
The U.S. Medicare landscape continues to face significant shifts in enrollment and financial stability. While Medicare Advantage (MA) enrollment has grown to 35.1 million—representing roughly 54% of the eligible populati
US Social Security: 2027 COLA and Solvency Projections
102 clusters · 229 sources · last updated
Latest: Social Security beneficiaries to receive 3.6% COLA increase in 2027
The Social Security Administration is transitioning to full electronic benefit delivery by the end of 2026. The Old-Age and Survivors Insurance (OASI) trust fund faces imminent insolvency, with projections suggesting ful
AI healthcare integration expands amid privacy and cost
24 clusters · 107 sources · last updated
Latest: US healthcare groups urge FDA to hold AI developers accountable
Since the July 2026 summit, AI deployment in healthcare has accelerated toward a collaborative model, though integration is increasingly complicated by privacy, economic, and safety tensions. Clinicians are adopting too
US health insurance and Medicare Advantage market shifts
3 clusters · 10 sources · last updated
Latest: UnitedHealthcare and Humana to cut Medicare Advantage plans for 2027
The US health insurance landscape is facing significant shifts heading into 2027. In Minnesota, marketplace premiums are projected to rise between 9.9% and over 21%, though state reinsurance programs have mitigated even
US federal Medicaid work requirement implementation
12 clusters · 29 sources · last updated
Latest: New Hampshire Medicaid coverage at risk for 29,000 residents
New federal Medicaid work and reporting requirements, stemming from legislation signed in July 2025, are scheduled to take effect on January 1, 2027. The rules mandate that most eligible adults aged 19 to 64 demonstrate
Law enforcement investigations in New York and New Jersey
2 clusters · 22 sources · last updated
Latest: New York adult daycare centers raided in massive Medicaid fraud probe
Law enforcement agencies in the New York and New Jersey area have conducted several investigations into illegal activities. In New Jersey, authorities searched Waterfall Therapy in Mays Landing, recovering approximatel
US administration actions on Obamacare exchange
10 clusters · 140 sources · last updated
Latest: Trump administration targets ACA enrollments to combat fraud
The Trump administration has initiated two major actions regarding the federal Obamacare exchange. First, the administration announced plans to issue $500 refunds to approximately one million Americans across 30 states.
US nursing home capacity decline
2 clusters · 6 sources · last updated
Latest: US hospital financial aid and nursing home capacity trends
The United States is facing a decline in nursing home capacity, driven by a demographic shift as the oldest baby boomers reach age 80 and demand for long-term care increases. Between 2015 and 2025, nearly 1,000 certified
AI coding disputes and new US healthcare transparency rules
5 clusters · 35 sources · last updated
Latest: Healthcare providers and insurers clash over AI billing and coverage laws
The dispute between the Blue Cross Blue Shield Association (BCBSA) and the American Hospital Association (AHA) regarding AI-driven healthcare costs has intensified. While the BCBSA previously alleged that AI-enabled reve
Minnesota federal Medicaid funding dispute
2 clusters · 4 sources · last updated
Latest: Joe Thompson alleges billions in Medicaid fraud in Minnesota
A dispute has emerged between Minnesota state officials and the Trump administration regarding federal Medicaid funding. In October 2026, the federal government froze $550 million in Medicaid funds following allegations
US medical equipment accessibility and Medicare regulation
2 clusters · 5 sources · last updated
Latest: Medical organizations comment on CMS RAPID coverage pathway
The United States has introduced new federal mandates to improve medical equipment accessibility for individuals with disabilities. Under the Rehabilitation Act and the Americans with Disabilities Act, the Department of
Republican pressure on Senator John Fetterman
2 clusters · 12 sources · last updated
Latest: Donald Trump urges Sen. John Fetterman to switch to Republican Party
Republican figures have increasingly pressured Democratic Senator John Fetterman to switch political affiliations. In September, CMS Administrator Dr. Mehmet Oz suggested Fetterman should join the Republican Party, notin
PhRMA legal challenge to Medicare drug pricing
2 clusters · 6 sources · last updated
Latest: PhRMA sues U.S. government over GLOBE drug pricing model
The Pharmaceutical Research and Manufacturers of America (PhRMA) has initiated legal action against the U.S. government to invalidate the ‘Global Benchmark for Efficient Drug Pricing’ (GLOBE) model. The lawsuit targets t
US Medicare Part B one-time premium rebates
2 clusters · 21 sources · last updated
Latest: Medicare beneficiaries to receive one-time $90 rebate
The Trump administration announced that approximately 20.8 million Original Medicare Part B enrollees in the United States will receive a one-time $90 payment in October 2026. Officially termed the ‘Medicare Improvement
Maine Medicaid expansion via federal waiver
2 clusters · 3 sources · last updated
Latest: Maine jails granted federal waiver to bill MaineCare for inmate clinical services
The Centers for Medicare and Medicaid Services (CMS) has granted Maine a federal waiver to expand Medicaid coverage through MaineCare. One component of the waiver allows correctional facilities to bill for specific cli
Mehmet Oz healthcare policy controversies
2 clusters · 3 sources · last updated
Latest: Dr. Mehmet Oz disputes rural healthcare funding projections during heated interview
Dr. Mehmet Oz, the administrator of the Centers for Medicare and Medicaid Services, has faced scrutiny regarding healthcare policy and economic claims. During a Fox News appearance, Oz used a grocery store analogy to su
U.S. hospital price transparency compliance and enforcement
2 clusters · 6 sources · last updated
Latest: FTC warns healthcare companies over price transparency
Compliance with federal hospital price transparency requirements in the United States has seen a notable increase. According to a report by the nonprofit Patient Rights Advocate, compliance rose to 49.4% in late 2026, up
US administration healthcare fraud crackdown
2 clusters · 11 sources · last updated
Latest: JD Vance targets Medicare fraud and Democratic inaction
The Trump administration has initiated significant actions to combat healthcare fraud. Vice President JD Vance and CMS Administrator Mehmet Oz announced the removal of approximately 750,000 to 760,000 individuals from Af
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Humana shares surge amid improved 2027 Medicare star ratings
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Devoted Health secures $1.18 billion in financing for expansion
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CMS releases 2025 MIPS scores and proposes MIPS transition
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US administration cancels health insurance for 760,000 people
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