JD Supra

CMS Finalizes GLOBE Medicare Rebate Model: Will Impact Only a Few Part B Drugs

On October 2, 2026, the Centers for Medicare & Medicaid Services (“CMS”) finalized the Global Benchmark for Efficient Drug Pricing (“GLOBE”) Model, ...
STAT

Plans to test prior authorization in traditional Medicare are deeply troubling

Berwick is a former administrator of the Centers for Medicare and Medicaid Services. He is a senior fellow for health policy and Ducas is the VP of health policy at the Center for American ...

Why many Medicare enrollees are getting $90 checks

The $90 payments are headed to more than 20 million Medicare B enrollees spanning all 50 states, with the most populated ...

Medicare Advantage premiums expected to drop more than 16% in 2027, CMS projects

Sept 29 (Reuters) - The Centers for Medicare & Medicaid Services estimates the weighted average premium for Medicare ...

Medicare open enrollment starts next week. Why it’s really important to shop this year.

While most of the nation’s 64 million Medicare recipients will have plenty of options, some changes underscore the importance ...

Pharmacies Have Opportunity to Shape Medicare and Medicaid Contracting Rules

The agency is working to implement a federal law passed in February requiring sponsors of Part D plans to let any willing pharmacy that meets standard “reasonable and relevant” terms and conditions be ...

Pharma lobby sues Trump administration over Medicare drug price cuts

By Michael Erman Oct 7 (Reuters) - The pharmaceutical industry's top lobby group on Wednesday sued to invalidate the Trump ...
Nextgov

CMS pitches new contractor operating model for ‘detect and prevent’ fraud strategy

The proposal builds on the Trump administration’s multi-faceted effort to curtail fraud, waste and abuse in federal health ...
STAT

New CMS rules will throttle access researchers need to Medicare, Medicaid data

Groundbreaking research more than a decade ago showed that almost one-fifth of people enrolled in Medicare were being readmitted within 30 days after being discharged from the hospital, harming ...
The American Journal of Managed Care

CMS Projects 16.5% Drop in 2027 Medicare Advantage Premiums

Weighted average monthly Medicare Advantage (MA) premiums are projected to fall 16.5% in 2027, while average premiums for ...

Medicare Drug Plan Premiums Expected to Hold Steady Despite Subsidy Loss

Medicare expects stand-alone Part D premiums to rise by less than $1 in 2027 as it phases out temporary insurer subsidies.