The CMS administrator’s comments Tuesday at an event hosted by an MA lobby suggest that the Trump administration remains interested in tougher oversight of the program, despite watering down or scrapping some of its biggest proposed reforms.
Vice President JD Vance took a jab at two of the networks that President Trump banned from the White House during a Tuesday event for his fraud task force with Dr. Mehmet Oz, the administrator for the Centers for Medicare and Medicaid Services (CMS). “I have my notes here that I’m supposed to take questions…
The Hill•Sarah Davis23h ago
Vice President Vance and Dr. Mehmet Oz, who leads the Centers for Medicare and Medicaid Services (CMS), are expected to announce a new crackdown Tuesday on alleged fraud in Affordable Care Act insurance exchanges. The administration plans to cancel subsidy payments tied to 760,000 accounts it says are fraudulent, unauthorized or otherwise ineligible, according to…
The Hill•The Hill Staff22 Sept
The new lawsuit, filed on behalf of five Medicaid enrollees and a swath of provider groups, says the CMS narrowed exemptions for those too sick to fulfill upcoming work requirements in the safety-net insurance program.
Data presented at the American Thoracic Society (ATS) 2026 show many early CPAP nonadherers reach clinically meaningful use within a year, challenging CMS's rigid 90 day coverage rule. Medscape Medical News
Medscape18 Sept
The Trump administration is expanding Medicare’s new technology-based payment experiment to cover more chronic conditions, including COPD, substance use disorder and tobacco cessation.
The agency says the CMS and MA organizations aren’t doing enough to screen durable medical equipment providers, especially out-of-network companies that aren’t enrolled in Medicare.
A record number of hospitals are fully sharing data on the cost of their services, thanks to the CMS stepping up enforcement. But there’s still a ways to go, according to PatientRightsAdvocate.org.
The CMS released draft star ratings, including the thresholds for reaching those ratings, to plans earlier this week. The grading sheet got stricter, which doesn’t bode well for insurers, one MA expert said.
