CMS/Medicare

WASHINGTON—The Office of the Inspector General (OIG) reviewed Medicare Advantage (MA) companies’ use of health risk assessments (HRAs), which often increase payments to MA plans by billions of dollars. As a result of the review, OIG offered suggestions to the Centers for Medicare and Medicaid Services (CMS).

WASHINGTON—The Centers for Medicare and Medicaid Services (CMS) announced Patrick Newbold has been appointed chief information officer (CIO), as reported by Federal News Network. After the addition of Newbold, the U.S.

BALTIMORE, Maryland—The Centers for Medicare and Medicaid Services (CMS) released its 2025 premiums, deductibles and coinsurance amounts for the Medicare Part A and Part B programs, as well as its 2025 Medicare Part D income-related monthly adjustment amounts. 

CMS’ 2025 updates to Medicare Parts A, B and D amounts are listed below.

BOSTON—A new study led by the Harvard T.H. Chan School of Public Health revealed Medicare Advantage (MA) plans receive billions of federal dollars for enrolling veterans who receive no Medicare services.

Editor’s Note: This story was written and released prior to any election result announcements.

By Stephanie Armour

On the campaign trail, both former President Donald Trump and Vice President Kamala Harris are eager to portray themselves as guardians of Medicare. Each presidential candidate has accused the other of backing spending cuts and other policies that would damage the health insurance program for older Americans.

BALTIMORE—The Centers for Medicare and Medicaid Services (CMS) issued a final rule on its calendar year (CY) 2025 home health prospective payment system, which updates Medicare payment policies and rates for home health agencies.

WASHINGTON—LeadingAge, an organization aiming to support nonprofit aging services providers, released a statement from Katie Smith Sloan, the company’s president and CEO, in response to the U.S. Senate Permanent Subcommittee on Investigations’ report on Medicare Advantage’s denial of post-acute care. The report, “Refusal of Recovery: How Medicare Advantage Insurers Have Denied Patients Access to Post-Acute Care,” was released Thursday, Oct. 17.

The statement made by Sloan is below.

WASHINGTON—House Representatives Mariannette Miller-Meeks (R-IA), Paul Tonko (D-NY) and Randy Feenstra (R-IA) are asking colleagues in the House to join a sign-on letter to the Centers for Medicare and Medicaid Services (CMS) that aims to reestablish the Medicare 75/25 blended rate for durable medical equipment (

WASHINGTON—Katie Smith Sloan, president and CEO of LeadingAge, an association of nonprofit providers of aging services, responded to a letter sent by 34 members of congress to President Joe Biden’s Administration regarding the Medicare Advantage (MA) plan “flex cards.

Below is Sloan's response:

WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) issued a blanket waiver that allows physical therapists and speech language pathologists to perform initial and comprehensive assessments in instances where therapy is ordered for home health agencies (HHAs) impacted by Hurricane Helene. 

Additionally, CMS modified some hospice requirements that involve updating comprehensive assessments of patients. 

Below are the modifications:

WASHINGTON—An indictment was unsealed in Brooklyn, New York, charging eight defendants for their alleged roles in a scheme to defraud Medicaid of approximately $68 million through the operation of two social adult day cares and a home health care financial intermediary. Through these operations, the scheme involved paying kickbacks and bribes for services that were not provided.

BALTIMORE, Maryland—The Centers for Medicare and Medicaid Services (CMS) announced additional resources and flexibilities are available in response to Hurricane Milton in Florida. CMS is working with the state of Florida and federal partners to put these flexibilities in place in an effort to ensure those affected by this natural disaster have access to the care they need.

WASHINGTON—Vice President Kamala Harris announced a proposed Medicare at Home benefit designed to help families with caregiving needs and strengthen Medicare. Under the plan, Medicare would cover homecare for the nations’ seniors and those with disabilities who are enrolled in Medicare, as well as vision and hearing benefits aimed at helping seniors live independently for longer.

BALTIMORE, Maryland—The Centers for Medicare and Medicaid Services (CMS) released a report on its study of the acute hospital care at home (AHCAH) initiative, which allows certain Medicare-certified hospitals to treat patients with inpatient-level care at home. While the initiative was launched during the COVID-19 public health emergency, the Consolidated Appropriations Act of 2023 (CAA) extended the waivers and flexibilities associated with the AHCAH initiative until Dec. 31, 2024.

BALTIMORE—The Centers for Medicare and Medicaid Services (CMS) has released the first draft of its hospice outcomes and patient evaluation (HOPE) tool, a new assessment tool for hospices. The HOPE tool was developed to replace the hospice item set (HIS) as part of the hospice quality reporting program (HQRP). 

ALEXANDRIA, Virginia—The National Home Infusion Association (NHIA), a trade association representing infusion companies and providers, commented on a proposed rule on Medicare home health (HH) programs from the Center for Medicare and Medicaid Services (CMS). 

WASHINGTON—The Centers for Medicare and Medicaid Services (CMS) issued a final rule in response to reports of alleged catheter fraud.

BALTIMORE, Maryland—The Centers for Medicare and Medicaid Services (CMS) announced additional resources and flexibilities available in Florida and Georgia in response to Hurricane Helene. CMS is working closely with the states of Florida and Georgia to put these flexibilities in place, ensuring those affected by this natural disaster have access to the care they need.

WASHINGTON—The Partnership for Quality Home Healthcare (PQHH), a coalition of Medicare home health providers aiming to increase access to quality homecare, released a third-party analysis of Medicare home health fee-for-service claims from 2022 through 2023, which found a decline in access to home health services for patients and families.

WASHINGTON—Congressman Earl Blumenauer (D-OR), a senior member of the Ways and Means Committee, introduced the Hospice Care Accountability, Reform and Enforcement Act (Hospice CARE Act) in an effort to modernize Medicare’s hospice benefit, which has remained largely unchanged since its inception in 1982. 

WATERLOO, Iowa—Leitten Consulting has released a comprehensive report highlighting the critical need for Medicare to shift its focus from competitive bidding to proactive investment in durable medical equipment (DME). The report, authored by Brian Leitten, underscores the cost savings and health benefits of providing timely DME to Medicare beneficiaries.