The U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2026 home health final payment rule on Monday. The rule projects a 6.4% ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...

Some spine procedures that are traditionally fee-for-service Medicare cases will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is ...

The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.

In fiscal 2023, the most recent year for which detailed financial information is available, Medicaid’s net cost was $894.2 ...

The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...

The Centers for Medicare & Medicaid Services today announced it has identified a fraud scheme targeting Medicare providers ...

He said Medicare Advantage could also be expanded to all Americans who are not on Medicaid, which would be funded by a 20% payroll tax. He has also promoted Medicare Advantage on his show, "The Dr ...

On Thursday, the Centers for Medicare & Medicaid Services (CMS) issued its final rule for next year’s Medicare inpatient payment rate.. Under the new rule, hospitals that participate in CMS ...

Further, the CMS Innovation Center will no longer pursue two previously announced models, the Medicare $2 Drug List and Accelerating Clinical Evidence. The CMS Innovation Center said it determined its ...

More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, ... CMS revised Medicare Advantage star ratings. Here’s which payers benefited.