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The Latest Breaking News from CMS

A New Federal Rule Cuts Medicaid Money for Gender Care in Minors, but States Can Still Pay with Their Own Funds

A CMS final rule ends federal Medicaid and CHIP matching funds for gender-related care in minors, taking effect on October 13, 2026.

Medical Daily

Rural Hospital Closures Slowed This Year While Individual Services Kept Disappearing

New federal cost report analysis puts 720 rural hospitals at risk of closing, even as whole hospital closures slow and service lines keep ending.

Medical Daily

Federal Program Will Send AI Health Tools into Rural America Before Evidence Shows They Improve Patient Outcomes

States are spending rural health funds on AI tools despite thin evidence that health AI improves access or outcomes in rural communities.

Medical Daily

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Federal Records Show Two Connecticut Hospitals Drew More Serious Safety Citations Than Any Others in the State

Saint Francis Hospital has received nine immediate jeopardy citations since January 2023, the most of any Connecticut hospital, state records show.

Medical Daily

2027 Medicare Costs: What We Know Now—and What Seniors Are Still Waiting For

Anyone trying to build a retirement budget for next year is dealing with an awkward Medicare calendar: some important 2027 numbers are available, while others...

Saving Advice

The Same Knee Replacement Costs Twice as Much an Hour Apart, and the Price Files Now Show It

Federal price disclosure data show a knee replacement billed at about $16,000 at one North Carolina hospital and around $40,000 at another.

Medical Daily

Federal Reviewers Found Problems in Nearly 30 Percent of Cases at a Four-State Organ Procurement Group

HHS moved to decertify Network for Hope after federal reviews found concerning features in 103 of 351 organ donation cases examined.

Medical Daily

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Advocacy Group Says a Medicare Rule Change Delayed Price Negotiation for a Costly AbbVie Drug by Seven Years

Public Citizen says a CMS eligibility change kept AbbVie's Creon out of Medicare price negotiation for seven extra years. Here is how it works.

Medical Daily

Hospitals Will Report Which Implants Go into Which Patients Under a New Medicare Measure

Medicare will require hospitals to capture unique device identifiers for implants starting in 2027, addressing a longstanding recall notification gap.

Medical Daily

Iowa Auditor Says Nursing Home Inspections Now Meet Federal Standards After Years of Delay

Iowa nursing homes are now inspected every 12 months on average, meeting federal standards, the state auditor says. The agency disputes the report.

Medical Daily

Federal Officials Urge States to Tighten Medicaid Oversight of Autism Therapy After 421 Percent Spending Rise

CMS released a state toolkit urging tighter Medicaid oversight of ABA autism therapy after spending rose 421 percent in four years.

Medical Daily

Nevada Doctor Charged in $95 Million Medicare Scheme Over Wound Coverings Used on Hospice Patients

A Henderson physician faces federal charges over $95 million in Medicare billing for amniotic wound grafts applied to elderly patients.

Medical Daily

Federal Health Officials Held Closed-Door Meetings with AI Companies, Raising Questions About Who Shapes Adoption Policy

FDA and CMS held a closed-door clinical AI event with 10 tech companies. What is routine, what is disclosed, and why patient groups want access.

Medical Daily

Kathy Hochul Slams Trump Over Medicare Cut, Says 1.3 Million New Yorkers Will Pay More for Prescriptions: 'A New Assault on Seniors...'

New York Governor Kathy Hochul (D) said President Donald Trump’s decision to end a Medicare subsidy program will raise prescription drug costs for about 1.3 million New Yorkers, arguing seniors should not have to bear the additional expense.

Benzinga

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Medical Daily

Medicaid Enrollees with Chronic Illness Face a Documentation Test After a Judge Declined to Pause the Rule

A federal judge let the CMS medical frailty rule stand. Here is what chronically ill Medicaid enrollees will need to document and when.

Medical Daily

Medicare Will Require Breakthrough Devices to Prove Substantial Clinical Improvement for Extra Hospital Payments

CMS has closed the fast track that let breakthrough devices skip the clinical improvement test for extra Medicare hospital payments.

Salon

Trump admin weaponizes imagined fraud

Expert breaks down how Trump's health officials are trying to prove that Medicaid itself is wasteful

Saving Advice

CMS Finalizes Medicare Hospice Payment Increase and New Patient Disclosure Rules for FY 2027

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule updating Medicare hospice payment rates, the hospice wage index, and quality reporting...

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Medicare to Increase Payments for Inpatient Rehabilitation Facilities in FY 2027

The Centers for Medicare & Medicaid Services (CMS) has published a final rule updating payment rates for inpatient rehabilitation facilities (IRFs) under Medicare for federal...

Medical Daily

A Michigan Hospital Took a Federal Rural Lifeline, Watched ER Volume Fall 13 Percent, and Closed Anyway

Sturgis Hospital's ER volume fell 13 percent after it converted to the federal rural emergency model. Then it closed. What that signals for rural care.

Medical Daily

ACA Enrollment Falls to 19.2 Million as Coverage Drops in Every State but New Mexico

New KFF data show ACA enrollment fell in every state except New Mexico. Here is how coverage loss affects prescriptions, screenings, and re-enrollment options.

Medical Daily

Waiting on a Wheelchair or Home Oxygen? Six Questions to Ask Your Supplier Before Medicare's October Rules Start

New Medicare paperwork rules for wheelchairs, ventilators and oxygen start October 28. Here is what to ask your equipment supplier to avoid delivery delays.

Medical Daily

Medicare Will Require a Documented Doctor Visit Before Delivering Home Ventilators and Most Wheelchairs Starting October 28

CMS added home ventilators, eight wheelchair codes and an oxygen system to Medicare's face-to-face and written order list, effective October 28.

Medical Daily

Medicare Will Start Counting Advantage Patients in Hospital Quality Scores, Closing a Gap That Left Out Half the Program

CMS finalized changes adding Medicare Advantage patients to hospital mortality and readmission measures, which have largely relied on fee-for-service claims.

Medical Daily

FDA Names Its First Company in a Pilot That Lets Some Digital Health Devices Skip Premarket Review

The FDA selected Dexcom as the first participant in its TEMPO pilot, which pairs relaxed premarket review with real-world evidence collection.

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