The programs don’t do what they claim to. If they were drugs, regulators would pull them from the market.

The AHA yesterday responded to a request for information from the Centers for Medicare & Medicaid Services on price ...

The Centers for Medicare & Medicaid Services (CMS) is shifting its policy on Section 1115 Medicaid waivers. | The Trump ...

CMS proposed a 2.4% Medicare payment increase for hospitals’ outpatient departments and ambulatory surgery centers in 2026, ...

Becker’s reported on six developments in CMS and Medicare news affecting spine surgery and physicians. 1. Some fee-for-service spine procedures in traditional Medicare will have prior authorizations ...

The American Hospital Association has urged lawmakers to strengthen oversight of Medicare Advantage plans and streamline the prior authorization process, which it described as a major barrier to ...

Taxpayers and Medicaid patients deserve far better than the flawed status quo. While OBBBA’s Medicaid changes were a small step in the right direction, lawmakers need to focus on getting spending ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services ...

Civil monetary penalties against payers for improperly delaying or denying coverage, hitting members with higher cost sharing ...

The Centers for Medicare & Medicaid Services (CMS) has introduced a transformative payment rule proposal aimed at reducing ...

Proposed cuts to Medicaid could undo advances in treatment for opioid use disorders, risking more overdoses, deaths and stress on the U.S. health system ...

Some states used Medicaid funding mechanisms to plug holes created by Medicare funding flaws and insurer payment denials. It's necessity, not waste.