Medicare & Medicaid
The lawmakers say the tool used by CMS is riddled with errors, while beneficiaries have not been notified.
Around 800 laboratory tests will be subject to the payment cuts on Jan. 1, 2026, threatening patient access to diagnostics, letter says.
States want early and clear guidance from CMS so they can move forward with system upgrades ahead of the Jan. 1, 2027, deadline.
Managed Medicaid plans offer suggestions on rollout of work requirements.
The 2.5% increase was voted into law in July in the One Big Beautiful Bill Act.
Tightening of MA market affects broker commissions and choice, says Urban Institute report.
An estimated 3,000 workers are temporarily being called back on Monday, October 27.
The system alleges UHG is also overstating the sickness of members to collect higher MA payments.
In OIG's estimation, almost three quarters of inactive, or “ghost,” providers should not have been listed as network providers.
The number of Medicare Advantage plans in the state has been cut from eight in 2025 to three for the 2026 plan year.