Medicare Advantage is facing unprecedented challenges from a decrease in reimbursement rates and the federal government’s ...
The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...
Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...
President Trump signed into law a two-year extension of telehealth services for older adults covered by the Medicare health insurance program.
The Centers for Medicare & Medicaid Services (CMS) is looking at ways it could incentivize hospitals to purchase supplies and medications made in the U.S.—including via a potential new “Secure | A ...
CMS released its 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, proposing a net average year-over-year payment ...
CMS announced the most recent round of awards Dec. 18, with hospitals receiving modest but targeted increases across primary care, behavioral health and other shortage specialties. The awards increase ...
The CMS will crack down on overpayments to Medicare Advantage plans, moving to significantly expand its capacity to audit whether insurers are inflating their enrollees’ illnesses, the agency said ...
The Centers for Medicare & Medicaid Services Jan. 26 released an advanced notice of proposed rulemaking seeking comments on ...
CMS is considering paying hospitals that prioritize buying personal protective equipment and essential medications manufactured in the U.S., according to a proposed rule the agency published Jan. 29.
The CMS has proposed several key changes for 2027, to make sure Medicare "works better for the people it serves." ...
When hospitals purchase from American producers, jobs remain in our manufacturing communities, tax dollars circulate locally, ...
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