News
Medicare Advantage in the Hot Seat | Committee for a Responsible Federal Budget
3+ day, 2+ min ago (232+ words) Taken together, CMS estimates these changes could reduce Medicare costs by roughly $22 billion in 2027. We would expect more savings over time. As a result, these changes are likely to reduce deficits, improve Medicare Hospital Insurance (HI) trust fund solvency and…...
CMS Final Rule Closes Medicaid Loophole | Committee for a Responsible Federal Budget
1+ mon, 1+ week ago (688+ words) Under the Medicaid program, the federal government helps finance state health care spending with a matching rate calculated based on the Federal Medical Assistance Percentage (FMAP). As we've shown ... CMS Final Rule Closes Medicaid Loophole The Centers for Medicare & Medicaid…...
New Data Suggests MA Overpayments of $1.2 Trillion Over the Next Decade | Committee for a Responsible Federal Budget
2+ mon, 4+ hour ago (277+ words) The Medicare Payment Advisory Commission (MedPAC) estimated that the Medicare Advantage (MA) program will be overpaid by roughly $76 billion in 2026. If continued, we estimate this would translate to $1.2 trillion of overpayments through 2035. Policymakers should work to reduce these overpayments, which…...
Statement for the Record on Reverse the Curse: Skyrocketing Health Care Costs and America’s Fiscal Future | Committee for a Responsible Federal Budget
2+ mon, 3+ hour ago (136+ words) Statement for the Record on Reverse the Curse: Skyrocketing Health Care Costs and America's Fiscal Future 2026-01-23 The Committee for a Responsible Federal Budget submitted a statement for the record pertaining to the House Budget Committee hearing on "Reverse the Curse:…...
Supporting Price Transparency to Reduce Health Care Costs | Committee for a Responsible Federal Budget
2+ mon, 6+ day ago (519+ words) In their newly proposed Great Healthcare Plan, the Trump Administration calls for "maximizing price transparency." This builds on recent efforts from the Administration and Congress to improve price transparency in health care, and has the potential to lower overall health…...
Senate ACA Plan Could Add $350-$635 Billion to Debt | Committee for a Responsible Federal Budget
3+ mon, 2+ week ago (231+ words) Source: CRFB estimates based on Congressional Budget Office projections. Figures are rounded to the nearest $5 billion. Over the first four years, we estimate the bill would add over $150 billion to the debt " including roughly $50 billion in 2028. Annual costs would decline…...
Understanding the ACA Subsidy Discussion | Committee for a Responsible Federal Budget
4+ mon, 2+ week ago (425+ words) As policymakers continue to debate what's next for the Affordable Care Act (ACA) exchanges, there has been significant confusion over how the subsidies work, how much they cost, and why premiums are rising. In this explainer, we discuss: ACA subsidies…...
Court Blocks CMS Ability to Recover Overpayments from Medicare Advantage | Committee for a Responsible Federal Budget
5+ mon, 2+ week ago (443+ words) The RADV program is a tool CMS uses to identify and recover overpayments to MA. Only a few months ago, CMS touted its commitment to beefing up this program, leveraging the 2023 final rule. Through ... Court Blocks CMS Ability to Recover…...
CMS Takes Important Steps to Recover Overpayments from Medicare Advantage | Committee for a Responsible Federal Budget
9+ mon, 2+ week ago (407+ words) The Centers for Medicare & Medicaid Services (CMS) recently announced it was expanding its efforts to audit Medicare Advantage (MA) plans" risk adjustment payments through the Risk Adjustment Data Validation (RADV) program. This is a positive development and a sign that…...
SDPs Run Amuck - The Case of Medical Debt Forgiveness as a Pretext for High Payments | Committee for a Responsible Federal Budget
6+ mon, 2+ week ago (756+ words) Rather than using federal funds to finance excessive payments to hospitals and other providers, states interested in addressing medical debt should consider more cost-effective approaches, such as medical debt purchasing programs and should work to lower overall health care costs....