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News by Topic: Health insurance

Jul 31, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2027 prospective payment rates, outlier threshold, and wage index for Medicare Inpatient Hospital Services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. Among other things, this rule also refines the IPF PPS outlier policy, implements a standardized IPF patient assessment, and removes two measures used in the IPF Quality Reporting Program. These regulations are effective October 1, 2026.
Source: Federal Register
Jul 31, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) updating the skilled nursing facility (SNF) prospective payment system (PPS) payment rates for fiscal year 2027. This rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. These regulations are effective October 1, 2026.
Source: Federal Register
Jul 30, 2026 - Announces a virtual public meeting of the Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), Classifications and Public Health Data Standards, ICD-10 Coordination and Maintenance (C&M) Committee to be held on September 15-16, 2026. The agenda includes a discussion of ICD-10-CM and ICD-10-PCS topics, a list of which is provided in the notice. Registration is required.
Source: Federal Register
Jul 30, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) announcing updates to the Healthcare Common Procedure Coding System (HCPCS) codes on the Master List, as well as HCPCS codes on the Required Face-to-Face Encounter and Written Order Prior to Delivery List and the Required Prior Authorization List. These updates, excluding prior authorization requirements for upper limb orthoses, are effective October 28, 2026. Prior authorization requirements for upper limb orthoses will be implemented in three phases, and will be effective in all states and territories on April 26, 2027.
Source: Federal Register
Jul 27, 2026 - Quarterly listing of Centers for Medicare & Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from April through June 2026, including contact information for general questions or additional information about specific sections.
Source: Federal Register
Jul 24, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Medicare Transaction Facilitator under Sections 11001 and 11002 of the Inflation Reduction Act (IRA) and 2) Collection of Prescription Drug Event Data from Contracted Part D Providers for Payment. Comments are due by September 22, 2026.
Source: Federal Register
Jul 24, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the following information collections: 1) Medicare Current Beneficiary Survey and 2) Beneficiary and Family Centered Data Collection. Comments are due by August 24, 2026.
Source: Federal Register
Jul 23, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) proposing the revision of standards for determining whether an indirect hold harmless arrangement exists for a healthcare-related tax. Also proposes sunsetting a secondary prong to the indirect hold harmless determination to ensure the thresholds determined as of July 4, 2025, serve as the maximum permissible level and adding a new permissible class to enhance CMS oversight of healthcare-related taxes. Comments are due by September 21, 2026.
Source: Federal Register
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