The Latest Breaking News from CMS

WASHINGTON — The insurance industry and Republicans are using the debt ceiling fight and President Joe Biden’s vows not to cut Medicare to fend off changes to private Medicare Advantage plans, which are popular among the public but have faced criticism about their costs to the government.

Medicare Advantage, a Medicare alternative primarily run by private health insurers, becomes a battleground in the war over federal spending.

EDITORS/NEWS DIRECTORS:

A federal mandate for health care workers to get vaccinated against COVID-19 has been in place nationally for a year

Drugmakers will be required to pay Medicare back for price increases that outpace inflation. The industry is expected to put up a fight over implementation.

WASHINGTON — The Biden administration’s plan to unwind the public health emergency tied to the COVID-19 pandemic will spur a whirlwind of changes related to telehealth, Medicaid, pharmaceuticals and other priorities.

The public health emergency created an array of health flexibilities, impacting everything from Medicaid to telehealth coverage.

Health plans will be allowed to pocket hundreds of millions of dollars in overcharges for audits before 2018

Plans to protect parents from abusive ex-partners come after coroner calls for reform following the tragic death of Emma Day

The federal Medicare agency will require next to nothing from insurers for excess payments they got from 2011 to 2017 and won’t impose big penalties until audits for 2018 and beyond are conducted, which could be years.

This month, the Food and Drug Administration approved a new drug, lecanemab, for the treatment of Alzheimer’s disease. The drug, sold under the brand name Leqembi, was developed by Japanese pharmaceutical company Eisai and will be marketed commercially in partnership with American pharmaceutical company Biogen. Biogen, notably, is the maker…