March 22, 2026 Healthcare Policy Roundup
March 23, 2026
OIG flags nursing home antipsychotic fraud, CMS weighs Medicare Advantage auto-enrollment, and MedPAC reports $76B in MA overpayments — March 22, 2026.
State Medicaid Budgets to Shrink by $665 Billion Over Next Decade Under New Federal Law
March 23, 2026
State Medicaid Budgets Will Decline by $665 Billion Under New Federal Law This Top Stories report summarizes a recent Stateline article outlining the projected $665
CMS Final Rule Eliminates Fax and Mail for Claims Attachments, Driving $782M in Annual Savings
March 20, 2026
CMS Final Rule Eliminates Fax and Mail for Claims Attachments CMS finalizes electronic claims attachment and e-signature standards, replacing fax and mail to reduce administrative
CMS Prior Authorization Public Reporting Deadline Arrives March 31
March 19, 2026
By March 31, 2026, impacted payers must publicly post prior authorization metrics for calendar year 2025 under CMS-0057-F. That includes data tied to approval and denial rates, appeal outcomes, turnaround times, and the items and services subject to prior authorization.
CMS Strengthens Patient Protections in Organ Donation System
March 12, 2026
CMS has issued new guidance strengthening patient protections and accountability in the organ donation system, with implications for payers around transplant network oversight, OPO recertification, and member care navigation through 2027.
Centers for Medicare & Medicaid Services Extends Manufacturer Application Window for GENEROUS Model
March 4, 2026
Industry Watch Alert Home The Centers for Medicare & Medicaid Services announced it is extending the application deadline for prescription drug manufacturers to participate in
Trump Administration Announces Major Fraud Prevention Actions Across Medicare and Medicaid
February 26, 2026
The Trump Administration announced expanded fraud prevention actions across Medicare and Medicaid, signaling a shift toward real-time oversight, increased transparency, and heightened program integrity expectations for payer organizations.
CMS Proposes 2027 Exchange Rules Focused on Cost Control, Plan Flexibility, and Program Integrity
February 12, 2026
CMS proposes 2027 Exchange regulations focused on lowering premiums, expanding plan flexibility, and strengthening subsidy oversight and program integrity for payers.
Consolidated Appropriations Act, 2026 (H.R. 7148) Signed Into Law
February 4, 2026
The Consolidated Appropriations Act, 2026 extends Medicare telehealth and hospital-at-home programs while delaying Medicaid DSH cuts, reinforcing long-term oversight and utilization management considerations for healthcare payers.
What the “Great Healthcare Plan” Announcement Means for Healthcare Executives
February 3, 2026
An executive analysis of the White House Great Healthcare Plan proposal, what it could mean for payers and providers, current congressional status, and realistic timelines for potential healthcare policy changes.