The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

The Centers for Medicare & Medicaid Services (CMS) revealed several updates to the ACO REACH program in 2026, though the ...

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology ...

Medicare beneficiaries will see several key changes in 2026 as the Centers for Medicare & Medicaid Services continues to implement Inflation Reduction Act (IRA) provisions and adjusts various program ...

CMS draft expands drug price talks to include Medicare Part B drugs and outlines steps for future renegotiations; public ...

The order is based on a "most favored nation" pricing model, which is similar to a policy Trump pushed in his first ...

Medicare and Medicaid program integrity audits are a highly cost-effective strategy to reduce federal healthcare program expenditures. For example, prior reports have found that certain hospital ...

Oz was confirmed, and as CMS ... For example, it has declined to cover GLP-1 receptor agonists, which the previous administration had supported. However, it has moved forward with the Medicare ...

Oz was confirmed, and as CMS prepares ... Here is a list of examples of items or services that may not be offered as SSBCI, including all of the following: Insulin costs for Medicare beneficiaries ...