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News by Topic: Health insurance

Jul 23, 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: Medicaid Provider Spending by National Drug Code (NDC) and Medicaid Provider Enrollment Segments.
Source: Federal Register
Jul 21, 2026 - The Centers for Medicare & Medicaid Services is seeking comments on the following information collections: 1) Transformed—Medicaid Statistical Information System (T-MSIS) and 2) the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems Survey Mode Experiment. Comments are due by September 21, 2026.
Source: Federal Register
Jul 21, 2026 - Notice from the Centers for Medicare & Medicaid Services making technical and typographical corrections to the May 20, 2026, final rule. These corrections are effective July 20, 2026.
Source: Federal Register
Jul 17, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Application To Be a Qualified Entity to Receive Medicare Data for Performance Measurement/Reapplication/Annual Report Worksheet, and 2) Good Cause Processes. Comments are due by August 17, 2026.
Source: Federal Register
Jul 16, 2026 - The Centers for Medicare & Medicaid Services is seeking comments on the following information collections: 1) CHIP State Plan Eligibility; 2) Model Application Template and Instructions for State Child Health Plan Under Title XXI of the Social Security Act, State Children's Health Insurance Program; 3) Home and Community Based Services (HCBS) Quality Measure Set (QMS) Reporting; 4) Medicaid State Plan Eligibility; 5) Health Home State Plan Amendment (SPA); 6) Child and Adult Core Set Measures; and 7) Health Home Core Sets. Comments are due July 30, 2026.
Source: Federal Register
Jul 16, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) addressing: 1) changes to the Physician Fee Schedule and Medicare Part B payment policies; 2) policies for the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; 3) the Ambulatory Specialty Model; 4) updates to drugs and biological products paid under Part B; 5) Medicare Shared Savings Program requirements; 6) updates to the Quality Payment Program; 7) updates to policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs); 8) updates to the Ambulance Fee Schedule regulations; 9) codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2026 provisions; 10) updates to Clinical Laboratory Fee Schedule regulations; and 11) updates to the Medicare Promoting Interoperability Program. Comments are due on September 14, 2026.
Source: Federal Register
Jul 14, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) State Exchange Improper Payment Measurement (SEIPM); and 2) Consumer Experience Survey Data Collection. Comments are due August 13, 2026.
Source: Federal Register
Jul 10, 2026 - The Centers for Medicare & Medicaid Services (CMS) announces the approval of The Joint Commission for continued recognition as a national accrediting organization for home health agencies that wish to participate in Medicare or Medicaid programs. This approval is effective March 31, 2026, through June March 31, 2032.
Source: Federal Register
Jul 8, 2026 - The Centers for Medicare & Medicaid Services (CMS) will hold a virtual meeting of the Advisory Panel on Hospital Outpatient Payment on August 24, 2026. The purpose of the Panel is to advise the Secretary on the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, which are major elements of the Medicare Hospital Outpatient Prospective Payment System and the Ambulatory Surgical Center payment system, and supervision of hospital outpatient therapeutic services. The agenda and information on how to join the meeting will be posted on the Panel's website. Presentations and comment letters are due by July 31, 2026.
Source: Federal Register
Jul 7, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027, including changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. Among other things, this rule also proposes updates related to the requirements for the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Reporting Program; requests information regarding potential approaches to improve comparability and standardization of the HPT information reported in machine-readable files and consumer-friendly displays, particularly for complex contracting methodologies; and announces notices of closure of teaching hospitals and opportunities to apply for available slots. Comments are due by August 31, 2026.
Source: Federal Register