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Health Plan Accountability Update
Member

Health Plan Accountability Update: October 2025

Health Plan Accountability Update
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
Health Insurance, Medicare Advantage
Stories

Hospital Stories

Stories
Explore stories of hospitals going above and beyond to care for their patients and communities throughout America. Search by location using state, category, or hospital name in the interactive map, or sort stories by category using the filter.
Telling the Hospital Story, Promoting Healthy Communities, Innovation, Community Benefit, Workforce, Wellness/Preventive Care, Access to Care in Vulnerable Communities
Advisory
Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

Advisory
The Centers for Medicare & Medicaid Services (CMS) Nov. 21 released its calendar year (CY) 2026 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Ambulatory and Outpatient Care, Post-Acute Care, Advocacy & Public Policy, Medicare, Access to Behavioral Health, Reimbursement
Advisory
Member

DEA and HHS Extend Waivers for Prescribing Controlled Substances Through Telemedicine

Advisory
The Department of Health and Human Services (HHS) and Drug Enforcement Administration (DEA) Dec. 30 released a temporary rule extending for the fourth time waiver flexibilities for prescribing controlled substances via telemedicine.
Telemedicine, Prescription Drugs, Access to Behavioral Health, Opioid Use Disorder, Advocacy & Public Policy, Telehealth
Advisory
Member

CMS Updates Guidance on State-directed Payment Provisions

Advisory
The Centers for Medicare & Medicaid Services (CMS) Feb. 2 issued updated preliminary guidance implementing section 71116 of the Working Families Tax Cuts (WFTC) legislation, which had formerly been referred to as the One Big Beautiful Bill Act, Public Law 119-21, which imposed new limits on Medicaid state-directed payments (SDPs).
One Big Beautiful Bill Act (OBBBA), Medicaid
Content
Public

Mental Health First Aid: A Proactive Approach to Workplace Violence

Advancing Health Podcast
In this conversation, Thomas Ahr, senior vice president and chief human resources officer at Hospital Sisters Health System, details how the health system is prioritizing prevention, supporting staff after incidents, and turning safety into a leadership responsibility.
Workplace Violence, Behavioral Health Intervention & Issues Prevention, Telling the Hospital Story, Workforce
Resources

Telling the Hospital Story: Media Resources

Resources
Explore videos, podcasts, and digital resources highlighting the stories of hospitals going above and beyond to care for their patients and communities throughout America.
Telling the Hospital Story, Workforce, Access to Care in Vulnerable Communities, Community Benefit, Innovation, Promoting Healthy Communities, Wellness/Preventive Care
Stories
Public

Hospital advisory council helps make health information clear and accessible for every patient

Stories
The Patient Education Advisory Council at Dartmouth Health supports the creation of high-quality patient education materials.
Telling the Hospital Story, Access to Care in Vulnerable Communities, Patient and Family Education/Engagement, Non-hospital Patient Care, Quality & Patient Safety
Advisory
Member

CMS Issues Proposed Notice of Benefit and Payment Parameters for 2027

Advisory
The Centers for Medicare & Medicaid Services (CMS) Feb. 9 released its 2027 proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees.
Health Insurance, Marketplace Issues/Stability, Cost Management, Making Healthcare More Affordable, Program Integrity, Enroll in Health Insurance
Advisory
Member

CMS Issues Proposed Rule for CY 2027 Medicare Advantage, Prescription Drug Plans

Advisory
The Centers for Medicare & Medicaid Services (CMS) Nov. 28 released its proposed Policy and Technical Changes to the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program and Programs of All-Inclusive Care for the Elderly for Contract Year (CY) 2027.
Medicare Advantage, Drug Prices, Prescription Drugs