Billy Wynne

Agency Announces Prize Challenge for Innovations Related to Living Kidney Donors and New Kidney Care Data Interoperability Effort

By Billy Wynne / April 15, 2026

The Department of Health and Human Services (HHS) announced the 2026 KidneyX EMPOWER Prize Challenge and new work on interoperability in the kidney care ecosystem. KidneyX is…

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Commissioners Examine Medicaid Coverage of Assistive Technology for Adults in HCBS Programs

By Billy Wynne / April 14, 2026

The Medicaid and CHIP Payment and Access Commission (MACPAC) convened a session to review findings from a policy scan and literature review on Medicaid coverage…

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Innovation Center Names Accepted Applicants and Extends Application Deadline for ACCESS Model

By Billy Wynne / April 14, 2026

Yesterday, the Center for Medicare and Medicaid Innovation (CMMI/Innovation Center) released a list of more than 150 applicants  accepted to participate in the ACCESS (Advancing…

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FY 2027 IPPS/LTCH PPS Proposed Rule Includes 2.4% Hospital Payment Update and National Expansion of CJR Model

By Billy Wynne / April 10, 2026

Today, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2027 inpatient prospective payment system (IPPS) and long-term care hospital prospective…

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Agency Proposes to Extend Electronic Prior Authorization and Interoperability Requirements to Prescription Drugs

By Billy Wynne / April 10, 2026

Today, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to advance interoperability and improve prior authorization (press release; fact sheet). The regulations apply to…

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Commissioners Express Interest in Further Analysis and the Expansion of Institutional Special-Needs Plans

By Billy Wynne / April 10, 2026

The Medicare Payment Advisory Committee (MedPAC) convened to discuss service delivery, network-adequacy requirements, and star ratings for institutional special-needs plans (I–SNPs). Staff provided an overview…

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Commissioners Begin Work on Medicaid Program Integrity

By Billy Wynne / April 10, 2026

The Medicaid and CHIP Payment and Access Commission (MACPAC) convened a session to describe an overview of Medicaid Program Integrity (PI). The presentation focused on describing fraud, waste,…

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Commission Considers Recommendations to Improve Use of Automation in Prior Authorization for State Medicaid Programs

By Billy Wynne / April 9, 2026

The Medicaid and CHIP Payment and Access Commission (MACPAC) convened a session to discuss draft recommendations to oversee the use of automation in the prior authorization…

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Commission Explores the Role of Pharmacy Benefit Managers in Medicaid, Signals Further Analysis

By Billy Wynne / April 9, 2026

The Medicaid and CHIP Payment and Access Commission (MACPAC) convened a session to review a forthcoming staff issue brief examining the role of pharmacy benefit…

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Agency Previews Heavy Spring Workload, With Health, Labor, and Privacy Bills Awaiting Scores

By Billy Wynne / April 8, 2026

The Congressional Budget Office (CBO) released its latest quarterly Recent Publications and Work in Progress report, offering Congress a snapshot of the agency’s current analytical…

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