Regulatory

PwC: US Health Policy Dynamics Heading into 2026 Midterms

US healthcare is in the midst of a structural transformation heading into the 2026 midterms. As the election cycle intensifies, affordability, transparency, vertical consolidation, and deal-oriented policymaking are emerging as central campaign themes. The midterms are poised to provide directional clarity on policy priorities while revealing where durable bipartisan consensus is likely to coalesce. Major […]

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Questions Abound on a Rumored National Moratorium on Hospice Provider Medicare Enrollment

Rumors have circulated that the U.S. Centers for Medicare & Medicaid Services (CMS) is mulling a national moratorium on hospice provider enrollment in Medicare, stirring some debate in the provider community. To date, CMS has not made any public statements about a moratorium. However, sources in Washington relayed rumours to Hospice News that such an

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Prime Gets Approval to Acquire 9th Illinois Hospital

The Illinois Health Facilities and Services Review Board approved Ontario, Calif.-based Prime Healthcare’s acquisition of Franciscan Health Olympia Fields (Ill.). The 214-bed hospital is expected to transition to Prime on May 1, according to a news release shared with Becker’s. Olympia Fields is set to become Prime’s ninth Illinois hospital and 55th overall. In March

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Long Anticipated Medicare Advantage Compliance Guidance Heightens Investor and Provider Scrutiny

In February 2026, the Department of Health and Human Services, Office of Inspector General (HHS-OIG) issued its highly anticipated Industry Compliance Program Guidance for Medicare Advantage (MA ICPG), the first such compliance guidance for the Medicare Advantage (MA) industry in over 25 years. The MA ICPG is the second industry segment-specific compliance guidance published in

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CMS Taps 150 Digital Health Companies, Providers for ACCESS Model

The Centers for Medicare and Medicaid Services picked 150 digital health companies and healthcare providers to participate in the launch of its tech-enabled chronic care model. The Center for Medicare and Medicaid Innovation (CMMI) announced in December the Advancing Chronic Care with Effective Scalable Solutions (ACCESS) Model as a 10-year payment program to encourage the

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CMS Proposes 2.4% Hospital Pay Increase, Nationwide Mandatory Model Rollout

The Centers for Medicare & Medicaid Services has proposed a 2.4% payment rate bump for inpatient services for fiscal year 2027, as well as the first mandatory nationwide test of an episode-based payment model. Hospitals’ proposed payment bump of 2.4% reflects a 3.2% market basket increase and a 0.8 percentage point productivity adjustment. It represents

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State Associations Urge CMS to Forgo Potential National Hospice Enrollment Moratorium

A group of state hospice associations have expressed mounting concerns that a rumored national moratorium prohibiting new provider enrollments could adversely affect access. A letter to the U.S. Centers for Medicare & Medicaid Services (CMS) was recently penned by the Florida Hospice & Palliative Care Association (FHPCA), the Association for Home & Hospice Care of

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CMS Rolls out 1st Tools for Nationwide Digital Health Ecosystem

The Centers for Medicare & Medicaid Services on April 9 announced the first rollout of tools aimed at building a modern digital health ecosystem, marking an early step in the agency’s push to modernize how patients access and share healthcare information. The initiative, unveiled during CMS’ HealthTech Ecosystem Live! first wave launch event, brings together

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