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Press Releases

CMS Notifies Individuals Potentially Impacted by Data Incident

The Centers for Medicare & Medicaid Services (CMS) is notifying Medicare beneficiaries whose personal information may have been involved in a data incident affecting Medicare.gov accounts. CMS identified suspicious activity related to unauthorized creation of certain beneficiary online accounts Read more about CMS Notifies Individuals Potentially Impacted by Data Incident
Press Releases

National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud

Largest Justice Department Health Care Fraud Takedown in History More than Doubles Prior Record of $6 Billion The Justice Department today announced the results of its 2025 National Health Care Fraud Takedown, which resulted in criminal charges against 324 defendants, including 96 doctors, nurse Read more about National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud
Fact Sheets

Calendar Year (CY) 2026 End-Stage Renal Disease (ESRD) Prospective Payment System Proposed Rule - CMS-1830-P

On June 30, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare beneficiaries on or after January 1, 2026. This Read more about Calendar Year (CY) 2026 End-Stage Renal Disease (ESRD) Prospective Payment System Proposed Rule - CMS-1830-P
Fact Sheets

Calendar Year (CY) 2026 Home Health Prospective Payment System Proposed Rule Fact Sheet (CMS-1828-P)

On June 30, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that proposes updates to Medicare payment policies and rates for home health agencies (HHAs) under the Home Health (HH) Prospective Payment System (PPS) Proposed Rule for calendar year (CY) 2026. CMS is Read more about Calendar Year (CY) 2026 Home Health Prospective Payment System Proposed Rule Fact Sheet (CMS-1828-P)
Press Releases

CMS Launches New Model to Target Wasteful, Inappropriate Services in Original Medicare

Model will leverage enhanced technologies to protect Medicare beneficiaries, federal taxpayers from unnecessary services, fraud, waste, and abuse The Centers for Medicare & Medicaid Services (CMS) is announcing a new Innovation Center model aimed at helping ensure people with Original Medicare Read more about CMS Launches New Model to Target Wasteful, Inappropriate Services in Original Medicare
Press Releases

HHS Secretary Kennedy, CMS Administrator Oz Secure Industry Pledge to Fix Broken Prior Authorization System

WASHINGTON, DC—JUNE 23, 2025—U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. and Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz today met with industry leaders to discuss their pledge to streamline and improve the prior authorization processes for Read more about HHS Secretary Kennedy, CMS Administrator Oz Secure Industry Pledge to Fix Broken Prior Authorization System