Model will leverage enhanced technologies to protect Medicare beneficiaries, federal taxpayers from unnecessary services, fraud, waste, and abuse Read more

WASHINGTON, DC—JUNE 23, 2025—U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr. and Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz today met with industry leaders to discuss their pledge to streamline and improve the prior authorization processes for Medicare Advantage, Medicaid Managed Care, Health Insurance Marketplace® and commercial plans covering... Read more

IntroductionToday, the Centers for Medicare & Medicaid Services (CMS) issued the “Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability Final Rule,” setting standards for the Health Insurance Marketplaces, which connect millions of consumers to Affordable Care Act (ACA) coverage. The rule finalizes additional safeguards to protect consumers from improper enrollments and changes to the... Read more

Rule Cracks Down on Improper ACA Enrollments, Protects Patient and Taxpayer Dollars, and Restores Marketplace Integrity Read more