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News by Topic: Health insurance

Apr 6, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2027. Among other things, this rule proposes conforming regulation text changes to discharge from hospice care regulations; regulation text changes to the face-to-face encounter regulations; and includes requests for information on community palliative care services, the construction of a hospice specific wage index, and the overlap between hospice and medical aid in dying (MAID). This rule also includes an analysis of Medicare non-hospice spending and proposes changes to the Hospice Quality Reporting Program. Comments are due by June 1, 2026.
Source: Federal Register
Apr 6, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) making typographical and technical corrections to the July 1, 2025 notice titled "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model." Corrections are effective April 6, 2026.
Source: Federal Register
Apr 6, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) seeking comments on updates to the prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs) for fiscal year 2027. Among other things, this rule proposes classification and weighting factors for the IRF prospective payment system's case-mix groups, continues the third year of the 3-year phase-out of the rural adjustments, and includes proposals for the IRF Quality Reporting Program. CMS also seeks comments on alternative data sources for the IRF PPS wage index, potential future IRF PPS payment reform, and more. Comments are due June 1, 2026.
Source: Federal Register
Apr 6, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing the forthcoming release of the following public data assets in open, machine-readable formats under an open license, with utilization and payment data aggregated by provider and service: Original Medicare Physician & Other Practitioners; Original Medicare Inpatient Hospitals; Original Medicare Outpatient Hospitals; Medicare Part D Prescribers; Original Medicare Durable Medical Equipment, Devices and Supplies (DMEPOS) by referring provider and service; DMEPOS by supplier and service; and Medicaid Provider Spending.
Source: Federal Register