What’s new and notable in the world of MaxRemind.
CMS has proposed sweeping limits on Medicaid state directed payments, aiming to align reimbursement rates with Medicare benchmarks and reduce federal spending. The proposed rule could significantly affect hospitals, providers, and healthcare organizations that rely on Medicaid payment arrangements above Medicare levels.
HHS and CMS have issued the 2027 Benefit and Payment Parameters final rule, introducing stricter ACA Marketplace standards for broker conduct, eligibility verification, subsidy checks, risk adjustment models, and insurer flexibility. The changes may affect health plans, providers, billing teams, and revenue cycle workflows as the 2027 plan year approaches.
U.S. hospitals are facing renewed financial pressure in 2026 as rising drug costs, supply expenses, reimbursement shifts, and revenue cycle leakage continue to erode margins despite modest revenue growth.
