CMS proposes end-of-life counseling provision, echoing ACA “death panels” controversy

ACA Marketplace enrollment estimated to fall by 17%, KFF analysis finds

As many as five million people may fall out of coverage on the Affordable Care Act Marketplace this year, according to an analysis from Kaiser Family Foundation and Wakely Consulting Group. The estimate projects enrollment to decline from 22.3 million people to 17.5 million.

Supreme Court rejects pharma challenges against CMS drug price negotiating powers

The U.S Supreme Court has declined to hear a slew of legal challenges filed by pharmaceutical companies such as AstraZeneca, Johnson & Johnson, Bristol Myers Squibb, Novo Nordisk, Novartis, and Boehringer Ingelheim.

Unfold AI’s prostate cancer mapping added to regional CMS Physician Fee Schedule

Unfold AI, an AI prostate cancer mapping and clinical decision support platform, is now included in Medicare’s Physician Fee Schedules across the West Coast and Mountain West regions. The regional expansion of Medicare payment for the tool gives urologists and care teams clearer reimbursement pathways in physician office settings, an area that has historically lagged behind hospital outpatient settings for emerging technologies.

May 01, 2026

Vol.52 No.17

Cancer Policy

FDA and CMS announce RAPID coverage pathway aimed at accelerating patient access to some Breakthrough medical devices

The Centers for Medicare and Medicaid Services and FDA announced a new coverage pathway—called the Regulatory Alignment for Predictable and Immediate Device, or RAPID pathway—designed to expedite access to certain FDA-designated Class II and Class III Breakthrough devices for people with Medicare.

April 24, 2026

Vol.52 No.16

Cancer Policy

CMS proposed rule would implement electronic prior authorization requirements for covered drugs in federal health plans

The Centers for Medicare & Medicaid Services issued the 2026 CMS Interoperability Standards and Prior Authorization for Drugs proposed rule, which aims to shorten care delays and improve transparency within federal health insurance programs by establishing electronic prior authorization, or ePA, requirements for covered prescription drugs and expedite federal response deadlines to ensure patients receive life-critical medications without administrative delay.

CMS proposes rule to update Medicare payments and transparency requirements for hospice care

The Centers for Medicare & Medicaid Services has proposed a rule to update Medicare payments for hospice care in the next fiscal year, which begins on Oct. 1.

April 10, 2026

Vol.52 No.14

By Sara Willa Ernst

CMS proposes end-of-life counseling provision, echoing ACA “death panels” controversy

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ACA Marketplace enrollment estimated to fall by 17%, KFF analysis finds

Supreme Court rejects pharma challenges against CMS drug price negotiating powers

Unfold AI’s prostate cancer mapping added to regional CMS Physician Fee Schedule

FDA and CMS announce RAPID coverage pathway aimed at accelerating patient access to some Breakthrough medical devices

CMS proposed rule would implement electronic prior authorization requirements for covered drugs in federal health plans

CMS proposes rule to update Medicare payments and transparency requirements for hospice care

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