Insights: Clients

The Center for Medicare & Medicaid Innovation (CMMI) is in the process of developing a demonstration program which would test allowing Medicare Part D plans and state Medicaid program to cover GLP-1 products for weight loss purposes. Reports suggest the demonstration could begin as soon as Q2 next year for state Medicaid programs (~2027 for...

Medicare Hospice Reimbursement

As part of the FY26 hospice final rule, CMS will increase hospice payments by 2.6% ($750m) relative to FY25 levels and set the annual per beneficiary payment cap at $35,361.44 (increased from $34,465.34 in FY25).

Medicare Skilled Nursing Facility (SNF) Reimbursement

As part of the FY26 SNF final rule, CMS will increase SNF payments by 3.2% ($1.16b) relative to FY25.

Medicare Inpatient Hospital (IPPS) Reimbursement

As part of the FY26 IPPS final rule, CMS will increase inpatient hospital payments by 2.8% ($4b) relative to FY25.

In anticipation of tomorrow’s deadline, President Trump has announced that “reciprocal trade” deals have been reached with all top trading partners other than China, India, Canada, Mexico, and Taiwan. Lower-level negotiations are ongoing to fill in the details of these deals and legal text is likely to emerge within a couple of weeks as occurred...

EPA “Endangerment Finding”

This week, the EPA proposed to rescind the 2009 Greenhouse Gas "Endangerment Finding." The Endangerment Finding provides the basis for regulating emissions, including for autos, power plants, and other sources. Administrator Zeldin characterized the finding as the “holy grail of the climate change religion,” given its significance in providing...