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Medicare & Medicaid stories

Aug 3, 2026

CMS Finalizes 2.3% Medicare Payment Increase for Hospitals, Launches Mandatory Joint Replacement Model for 2027

The Centers for Medicare & Medicaid Services finalized a 2.3% payment increase for inpatient hospitals in fiscal year 2027 and introduced the first nationwide mandatory payment model for joint replacements starting in 2028. Hospital groups criticized the raise as inadequate and objected to the mandatory nature of the new model.

Aug 3, 2026·7 sources
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Apr 24, 2026

CMS Declares Public Health Emergency for Hawaii Following Severe Storms

Health Secretary RFK Jr. declared a public health emergency for Hawaii in response to severe weather events, providing federal healthcare providers and suppliers greater flexibility to meet emergency needs of Medicare and Medicaid beneficiaries in the affected areas.

Apr 24, 2026·2 sources
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Top claims

  • ▪The Centers for Medicare & Medicaid Services is modifying the Electronic Prior Authorization measure to be an optional bonus measure for calendar year 2027 before making it mandatory in calendar year 2028.
  • ▪The CJR-X joint replacement model is projected to save the federal government $725 million over five years.
  • ▪The Centers for Medicare & Medicaid Services is finalizing modifications to five condition-specific and procedure-specific mortality measures under the Hospital Value-Based Purchasing Program beginning with the fiscal year 2032 program year.

People involved

Robert F. Kennedy Jr.

Subtopics

Healthcare Policy2Disaster response1Environmental and Occupational Health1Government and Regulatory Policy1Healthcare Access and Insurance1Medicare1Public Health and Safety1US healthcare regulation1

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