CMS is proposing a more generous increase in payments to Medicare Advantage plans in 2026 than in previous years.
Policy Updates
A new California law went into effect Jan. 1 that prohibits payers from making coverage decisions based solely on artificial intelligence algorithms.
Two major Medicare changes signed into law in the Inflation Reduction Act will take effect in 2025.
CMS will sunset the Medicare Advantage Value-Based Insurance Design Model at the end of 2026, citing "unprecedented" costs to the Medicare trust fund.
CMS has moved the deadline to enroll in federally facilitated marketplace coverage from Dec. 15 to Dec. 18 for benefits that begin in the new year.
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Medicare Advantage plans must comply with new network adequacy and health equity standards in 2025.
Centene executives do not expect a second Trump administration to be able to push through major changes to Medicaid.
A federal judge has halted new regulations allowing individuals who are part of the Deferred Action for Childhood Arrivals program to enroll in ACA marketplace plans.
Anthem Blue Cross Blue Shield has walked back a controversial policy capping the amount of time it would reimburse providers for anesthesia services.
An Illinois lawmaker has introduced legislation that aims to provide greater oversight of how insurers use artificial intelligence in decision-making processes.