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.
Georgia Access Opens its 2026 Open Enrollment PeriodOctober 31, 2025
The Open Enrollment period for health insurance in Georgia for the year 2026 will start on November 1, 2025, and run until January 15, 2026. This affects all Georgians looking for affordable health coverage. During this time, consumers can compare different health plans and enroll in one that suits ...
CMS Announces Aggressive Nationwide Crackdown on Fraud with Six-Month Hospice and Home Health Agency Enrollment Moratoria
The Centers for Medicare & Medicaid Services (CMS) has announced a six-month pause on new Medicare enrollments for hospices and home health agencies to combat fraud. This decision affects new providers in these areas, which have been identified as high-risk for fraudulent activities. Existing provid...
Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies
The proposed rule updates Medicare payment rates for home health services starting in 2027. It affects home health agencies and providers by adjusting payment rates based on patient needs and service usage. The rule also aims to improve quality reporting and payment models for home health services. ...
Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of Nationwide Temporary Moratorium on Enrollment of Hospices
The government has announced a temporary halt on enrolling new hospices in the Medicare program for the next six months. This change affects hospices that want to provide care to Medicare patients. Insurance agents should stay informed about this moratorium and be ready to advise clients accordingly...
Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of Nationwide Temporary Moratoria on Enrollment of Home Health Agencies (HHAs)
There is a new 6-month pause on enrolling home health agencies in Medicare across the country. This affects home health agencies that want to join the Medicare program. Insurance agents should be aware of this moratorium and inform their clients accordingly.