Insurance News
Regulatory updates in plain English
Stay current with the latest from CMS, state departments of insurance, NAIC, the Federal Register, and Congress — rewritten so you can actually understand what it means for your practice.
CMS Acts to Strengthen Care Quality, Cut Drug Costs, and Slash Out-of-Pocket Expenses for Medicare Beneficiaries
The Centers for Medicare & Medicaid Services (CMS) has announced changes to how Medicare pays for outpatient care, which will start in 2027. These changes aim to lower drug costs and out-of-pocket expenses for Medicare beneficiaries. CMS plans to adjust payment rates for drugs purchased under the 34...
CMS Announces Participants in Landmark Medicaid Drug Payment Model to Bring Down Drug Costs for Most Vulnerable Americans
The Centers for Medicare & Medicaid Services (CMS) has announced that all 50 states, along with Washington D.C. and Puerto Rico, will participate in a new program aimed at reducing drug costs for Medicaid recipients. This initiative, called the GENEROUS Model, will allow states to purchase certain p...
CMS to Lower Drug Costs and Improve Care by Extending Deadline for GENEROUS Model Application
The Centers for Medicare & Medicaid Services (CMS) has extended the application deadline for drug manufacturers to join the GENEROUS Model, which aims to reduce drug costs and improve care in Medicaid. The new deadline is now April 30, 2026, instead of March 31, 2026. This change allows more drug co...
CMS to Lower Drug Costs and Improve Care by Extending Deadline for GENEROUS Model Application
The Centers for Medicare & Medicaid Services (CMS) has extended the application deadline for drug manufacturers to join the GENEROUS Model, which aims to reduce drug costs in Medicaid and improve healthcare access. The new deadline is now April 30, 2026, giving manufacturers more time to apply. This...