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The Latest Breaking News from CMS

New Federal Rules Put Hospital Malnutrition Screening and Advance Care Planning in the Spotlight

Medicare will require hospitals to report malnutrition screening and advance care planning. Both address gaps that affect recovery and family decisions.

Medical Daily

Medicare Finalizes New Rules for the Hospitals Where Stroke Patients Begin Intensive Recovery

CMS finalized FY 2027 rules for inpatient rehabilitation facilities, tightening when therapy must start and when care teams must meet. What patients should know.

Medical Daily

Sepsis Survivors Are Often Readmitted Within a Month, and Discharge Planning Is Where That Changes

Medicare will start scoring hospitals on 30-day sepsis readmissions. Here is what survivors and caregivers should ask before discharge day.

Medical Daily

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Cancer and Long-Term Care Hospitals Will Stop Reporting Staff COVID Vaccination Rates Under a Finalized Medicare Rule

CMS finalized removal of staff COVID vaccination reporting for 11 cancer hospitals and long-term care hospitals, beginning with the FY 2028 program year.

Medical Daily

Hospitals Must Now Name Their Perinatal Quality Collaborative Under a Finalized Medicare Reporting Change

CMS finalized a rule requiring hospitals to name the perinatal quality collaborative they join, starting with FY 2028. What it means for families.

Medical Daily

A New Medicare Rule Changes How Organ Recovery Costs Are Accounted For, with No Projected Effect on Waiting Lists

Medicare finalized changes to how organ procurement organizations account for costs. Here is what it does, and why it is unlikely to change transplant waits.

Medical Daily

Medicaid Recipients Are Beginning to Lose Coverage as Nebraska Becomes First State to Enforce New Federal Work Requirements

States are entering the first phase of implementing new federal Medicaid work requirements, with Nebraska becoming the first state where some beneficiaries are beginning to lose coverage after failing to meet the reporting requirements.

Benzinga

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Trump administration is withholding more than $1B in Medicaid funds from California and Minnesota, in latest example of weaponizing real and imagined fraud

The Trump administration announced on July 21, 2026, that it’s withholding US$867 million in federal healthcare funding for California and $200 million for Minnesota – a total of more than $1 billion.

The Conversation

‘Just cruel’: Medicaid halt in California and Minnesota plunges caregivers and disabled people into uncertainty

Shock and fury as Trump administration holds back Medicaid funding to states over alleged caregiving fraud

The Guardian - US

Medicare's 36-Hour Therapy Rule for Inpatient Rehab Isn't New: What CMS Wants to Change

Medicare already requires inpatient rehab therapy within 36 hours. CMS has proposed requiring all therapies to start in that window from October.

Medical Daily

What to Know About Medicare Costs Seniors Should Put on Their 2027 Watchlist Now

If you’re living on a fixed income, even a small increase in healthcare costs can have a noticeable impact on your monthly budget. While the...

Saving Advice

One in Three U.S. Communities Has No Preferred Medicare Pharmacy, and That Gap Changes What Seniors Pay

One in three U.S. ZIP code areas lacks a preferred Medicare pharmacy, a new study finds. Here is how that gap changes what seniors pay.

Medical Daily

'Even Cancer Is Not Enough': Judge Allows Controversial Medicaid Rules To Stand

A federal judge has allowed a Trump administration Medicaid policy requiring terminally ill patients to prove inability to work for exemptions, sparking legal challenges from Democratic states.

International Business Times UK

Trump Administration Targets 100 ACA Agents Over Fake Enrollments as CMS Warns 35% of Marketplace Signups Could Be Illegitimate

The Trump administration is sending notices of intent to 100 agents affiliated with the Affordable Care Act marketplace who allegedly violated the exchange’s standards of conduct by submitting insurance applications without recipients’ Social Security numbers or other identifying information, according to a report published Thursday by Fox Business.

Benzinga

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Medical Daily

Medicare Is Dropping Two Alcohol and Tobacco Measures from Its Quality Program for Psychiatric Hospitals

CMS finalized removal of two substance use measures from inpatient psychiatric quality reporting, changing what these facilities are measured on.

Medical Daily

Medicare Will Stop Requiring Nursing Homes to Report Staff COVID Vaccination Rates

CMS finalized a rule removing two COVID vaccination measures from nursing home quality reporting, changing what families can look up before choosing care.

Medical Daily

A Medicare Prior Authorization Pilot Has Run in Six States Since January Without Most Patients Knowing

A CMS pilot has applied prior authorization to some Original Medicare procedures in six states since January. How to tell if it affected you.

The Independent UK

Older Americans set to see Medicare cost rise after Trump kills subsidy for drug program

Decision to eliminate concession could mean higher monthly insurance premiums for millions of people

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Medical Daily

CMS Projects Its Own Medicaid Tax Rule Will Cut Federal Spending by $246 Billion

CMS actuaries estimate its proposed rule limiting Medicaid provider taxes would cut federal spending by $246 billion over ten years.

Medical Daily

Medicare Just Fined 14 Insurers as the Electronic Prior Authorization Deadline Approaches

CMS fined 14 Medicare plans $1.54 million and flagged prior authorization failures ahead of the January 2027 electronic exchange deadline.

Medical Daily

Medicare to End Premium Stabilization Program for Standalone Drug Plans

CMS is ending the Part D Premium Stabilization Demonstration after 2026. Here is what it did and what seniors will learn in September.

Medical Daily

CMS Flags 50 Medicaid Providers in Data Sweep, Including Billing for Tests Patients Did Not Need

CMS says its Medicaid Fraud War Room flagged 50 providers and blocked $203 million. Here is what it means if your provider is on the list.

Medical Daily

Four States Now Activate Medicaid Before Jail Release as New Federal Law Pressures the Rest

Four states now enroll people in Medicaid before release from jail. H.R. 1 has forced three others to pause, and outcome data is not in yet.

Medical Daily

Approved but Not Covered: Why Medicare Patients Wait a Year for Devices Their Doctors Can Already Prescribe

FDA approval does not mean Medicare pays. Here is why the gap exists, what the proposed RAPID pathway would change, and what patients can do now.

Medical Daily

What You Can Already Demand from a Hospital About Its Prices While Congress Argues About the Rest

Congress advanced two price transparency bills. Here are the pricing rights hospitals already owe you today, and how to actually use them.

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