On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that puts forth policy and technical changes to ...

The agency suggested cutting a dozen quality measures where health plan performance is high and beneficiaries can’t easily ...

The Centers for Medicare and Medicaid Services (CMS) have announced changes to the Medicare Advantage (MA) Star Ratings for 2026. These adjustments could significantly impact insurers, affecting their ...

The Trump administration is proposing significant changes to the metrics used to the calculate the Medicare Advantage star ratings. | The Trump administration is proposing significant changes to the ...

CMS is proposing to remove measures focused on administrative processes or that do not convey variability in quality among plans.

CMS outlines a 2027 Medicare rule proposing major Star Ratings updates, a new behavioral health measure, and streamlined ...

Top Medicare and Medicaid officials want to create a “universal foundation” of quality measures aligned across all programs in a bid to ease reporting burdens and confusion. Officials with the Centers ...

Medicare Advantage insurers scored a Thanksgiving gift, as President Trump’s Medicare agency added back a bonus system that ...

As Congress continues to debate next steps on the Affordable Care Act's enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures in place ...

CMS will provide up to $30 million of funding and technical assistance to clinicians, patients and other stakeholders to support the development of quality measures over three years, Kate Goodrich, MD ...

The following article was written by Ann O’Neill, RN, MBA/HCM, director of clinical operations for Regent Surgical Health.By now, almost everyone in the ASC industry is aware of the new CMS quality ...