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From this week's edition

High HHS

HHS promises final rule on pediatric gender-affirming care bans for Medicare still coming

Despite reports of delays, HHS confirms it is proceeding with a final rule that would bar providers offering pediatric gender-affirming care from receiving Medicare and Medicaid reimbursement. HHS rebuked a recent report claiming that a controversial proposal to add pediatric gender-affirming...

High CMS

SCAN Health Plan and Alignment Healthcare join Elevance Health in lawsuit challenging CMS' 2026 Medicare Advantage star ratings recalculations

The health plans allege CMS' methodology unfairly penalizes MA plans, potentially affecting reimbursement and plan competitiveness in the 2026 star ratings cycle. SCAN Health Plan and Alignment Healthcare have filed a lawsuit against the Centers for Medicare & Medicaid Services (CMS) alongside...

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