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CMS is proposing new authority to deny or revoke Medicare enrollment for physicians, ASCs and other providers and suppliers, including grounds tied to provider density in a given market, certain misdemeanor convictions and retroactive payment recoupment. The proposal is tucked…

Marketplace enrollment could decline between 47% and 57% if premium tax credits expire and proposed changes in Congress become law, according to an analysis from Wakely, a healthcare market research firm .  The “One Big Beautiful Bill,” a 1,000+ page…

A preliminary injunction was granted July 1 by a federal judge that halts the Trump administration’s plan to downsize and reorganize HHS.  In late March, HHS shared plans to lay off 10,000 full-time employees to save $1.8 billion annually for…

Proposed changes to Medicare Advantage are unlikely to be included in a final budget deal, The Hill reported June 11.  Senators had floated adding provisions of the No UPCODE Act, which targets overpayments in the program, to the massive federal…

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