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August 26, 2025

HHS and CMS Unite to Revamp Medicare and Medicaid Programs

aha.org
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Contributed by: Kate Gamble
Summary
The Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) are forming a new committee to recommend enhancements for federal health programs, reflecting ongoing concerns about oversight and strategic planning amid evolving healthcare needs. This initiative and recent findings on Medicare Part D plan design changes highlight the necessity for continual adaptations in response to legislative shifts and beneficiary requirements. Additionally, CMS is enhancing Medicaid eligibility standards to optimize resource allocation and minimize misuse, supported by the new Medicaid Managed Care Rate Development Guide for 2025-2026. These developments signify a crucial step for healthcare professionals in understanding policy shifts as they impact the design and delivery of health services.

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