Latest News On CMS

Latest KFF Health News Stories

Lawmakers, Health Groups Resist Their States’ Rural Health Fund Plans

KFF Health News Original

Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration’s $50 billion federal rural health fund. Federal administrators already approved states’ plans, but in many cases, state lawmakers must greenlight spending.

Wyoming Wants To Make Its Five-Year Federal Rural Health Funding Last ‘Forever’

KFF Health News Original

State officials believe they’ve found a way to extend the life of federal Rural Health Transformation Program money Wyoming is receiving as part of last summer’s One Big Beautiful Bill Act — by investing most of it.

Trump Required Hospitals To Post Their Prices for Patients. Mostly It’s the Industry Using the Data.

KFF Health News Original

Politicians have pushed for price transparency in health care. But instead of patients shopping for services, it’s mostly health systems and insurers that are using the information, as fodder for negotiations over pay.

Clinics Sour on CMS After Agency Scraps 10-Year Primary Care Program Only Months In

KFF Health News Original

A planned 10-year federal program called Making Care Primary was supposed to help primary care doctors by easing administrative burdens, allowing them to focus on improving patients’ health. A year after the Trump administration eliminated the program, federal officials created an alternative plan that favors companies.

Con ICE usando datos de Medicaid, hospitales y estados están en medio de una encrucijada: informar o no a sus pacientes inmigrantes

KFF Health News Original

Ponerlos al tanto de estos riesgos podría disuadirlos de inscribirse en el Medicaid de Emergencia, que ofrece atención médica de urgencias a inmigrantes que no califican para la cobertura regular de Medicaid.

With ICE Using Medicaid Data, Hospitals and States Are in a Bind Over Warning Immigrant Patients

KFF Health News Original

The Trump administration’s move to give deportation officials access to Medicaid data is forcing hospitals and states to consider alerting immigrant patients that information from emergency medical coverage applications could be used in efforts to remove them from the country.

Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans

KFF Health News Original

Breakups between insurers and health systems, on top of plan cuts, left more than 3.7 million Medicare Advantage enrollees facing a tough choice last year: find new insurance or new doctors. But hospital systems say their Advantage plans can avert such upheaval, giving patients peace of mind.

These 3 Policy Moves Are Likely To Change Health Care for Older People

KFF Health News Original

Two Trump administration regulatory rollbacks affect nursing home staffing and home care workers, and a new AI experiment in Medicare has alarmed eldercare advocates and congressional Democrats.

Medicaid Tries New Approach With Sickle Cell: Companies Get Paid Only if Costly Gene Therapies Work

KFF Health News Original

The government is using sickle cell treatments to test a new strategy: paying only if the therapies benefit patients. With more expensive treatments on the horizon, the program — created by the Biden administration and continued under President Trump — could help Medicaid save money and treat more patients.

States Race To Launch Rural Health Transformation Plans

KFF Health News Original

Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing “Make America Healthy Again” initiatives.

Sticker Shock: Obamacare Customers Confront Premium Spikes as Congress Dithers

KFF Health News Original

With subsidies that give consumers extra help paying their health insurance premiums set to expire, lawmakers are again debating the Affordable Care Act. The difference this time: It’s happening in the middle of ACA open enrollment.

Plan-Switching, Sign-Up Impersonations: Obamacare Enrollment Fraud Persists

KFF Health News Original

Investigators from the Government Accountability Office were able to register nearly 20 fake ACA enrollments in a probe of healthcare.gov. The federal government paid subsidies to insurers for some of the fake customers.

How Delays and Bankruptcy Let a Nursing Home Chain Avoid Paying Settlements for Injuries and Deaths

KFF Health News Original

Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.

Tracking Applications for Rural Health Transformation Funds

KFF Health News Original

KFF Health News is working to collect and post complete application materials, by state, here and will update this repository as new materials, released in response to public records requests, arrive.

Republicans Left Tribes Out of Their $50B Rural Fund. Now It’s Up to States To Share.

KFF Health News Original

The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.

Feds Promised ‘Radical Transparency’ but Are Withholding Rural Health Fund Applications

KFF Health News Original

Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.

Gobierno prometió “transparencia radical”, pero oculta solicitudes de fondos para la salud rural

KFF Health News Original

Drones que entregan medicamentos y telesalud en bibliotecas locales son algunas de las ideas que líderes estatales acaban de presentar para gastar su parte de un programa federal de salud rural de $50.000 millones.

Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.

KFF Health News Original

Health systems drop out of Medicare Advantage plans all the time. Yet government documents obtained by KFF Health News show that federal regulators rarely warn plans that their networks of health providers are so skimpy they violate legal requirements.