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.
Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments Proposed Rule (CMS-2449-P)
The Centers for Medicare & Medicaid Services (CMS) is proposing new rules for Medicaid payments that will affect both managed care and fee-for-service systems. Starting from July 4, 2025, certain Medicaid payments will be limited to a maximum of 100% or 110% of Medicare payment rates, depending on w...
Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments
The proposed rule changes how Medicaid payments are managed, specifically for managed care and fee-for-service programs. It aims to adjust payment limits and requirements to ensure that payments are fair and support quality care. This affects Medicaid providers and managed care organizations. Agents...