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CMS announces actions addressing fraud

The Centers for Medicare & Medicaid Services Feb. 25 released a request for information on potential regulatory changes in a possible future proposed rule called Comprehensive Regulations to Uncover Suspicious Healthcare, or CRUSH.

CMS announces library of digital health apps for Medicare beneficiaries 

The Centers for Medicare & Medicaid Services Feb. 23 announced the development of its Medicare App Library. As part of the agency’s Health Technology Ecosystem framework, the library will provide a directory for Medicare beneficiaries to access an array of patent-facing digital health tools integrated with CMS Aligned Networks.

CBO projects Hospital Insurance Trust Fund to be solvent until 2040 

The Congressional Budget Office has projected that the Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2040 — 12 years earlier than last year’s projection.
Member

Health Plan Accountability Update: October 2025

The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.

Study finds nearly 3 million MA beneficiaries forced to find alternative coverage for 2026 

A JAMA study published Feb. 18 found that 10% of Medicare Advantage beneficiaries — approximately 2.9 million — have needed to find other health coverage in 2026 due to MA plans leaving the market.

AHA submits comments on CMS proposed rule on prohibiting ‘sex-rejecting procedures’ for children

The AHA Feb. 17 submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs from performing “sex-rejecting procedures” on individuals under 18 years of age.

Senate Aging Committee holds hearing on physician burnout 

The Senate Special Committee on Aging held a hearing Feb. 11 on issues impacting physician burnout.

CMS announces state distribution of $50 billion in rural health funds

The Centers for Medicare & Medicaid Services Dec. 29 announced $50 billion in funds awarded to all 50 states through the Rural Health Transformation Program.
Public

Providing Solutions to Address Challenges with MA Plans

More than 34.1 million Americans were enrolled in a Medicare Advantage plan in 2025, accounting for 54% of all Medicare beneficiaries.

Making our Voice Heard and Leading the Way to Advance Health in America

It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.