1/5
This +Insight outlines key changes CMS is proposing, particularly related to episode pricing, quality measurement, and trend factor calculations.
2/5
The Centers for Medicare & Medicaid Services (CMS) recently finalized the 2026 Medicare Advantage (MA) and Part D Payment Rates and Policies, including a net 5.06% increase in payments to MA plans before accounting for coding trends. The overall increase reflects an average county benchmark growth rate of 9.04% along with continued phase-in of changes to the MA risk model and rebasing of county benchmark amounts. The updates and changes to payment policies are important for plans in preparing offerings and bids for 2026, as well as providers and others who do business with MA plans or are thinking about engaging with MA.
3/5
On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2026 Inpatient Prospective Payment System (IPPS) proposed rule. The rule would update Medicare payment policies and quality reporting programs relevant for inpatient hospital services.
4/5
Read on as we explore the different pathways for NTAP eligibility, the associated criteria for each pathway, and the timeline and key dates to consider before applying.
5/5
Congress is simultaneously pursuing two major initiatives involving government spending: funding/appropriations and budget reconciliation.
Download our cheat sheet that describes both initiatives and includes a comparison table to help you understand and follow these bills as Congress continues its work.
