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

A recent study found that annual Medicaid spending on accelerated approval drugs increased from $0.9 billion in 2007 to $4.4 billion in 2018, although these estimates did not account for rebates ...

Here are five physician fraud cases Becker’s has reported on since June 17: 1. Columbus, Ohio-based Robert Florea, MD, was sentenced to 24 months in prison for a $1.5 million Medicaid fraud scheme. Dr ...

The White House budget proposal would roll back next year's federal HIV prevention funding to levels not seen since around ...

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% ...

The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...

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 ...

The Centers for Medicare & Medicaid Services is warning healthcare providers and suppliers about a new fraud scheme involving fake faxed requests for medical records. According to a June 26 alert ...

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 today announced it has identified a fraud scheme targeting Medicare providers ...

The Centers for Medicare & Medicaid Services (CMS) is a federal agency that provides health coverage to millions of people. It oversees programs like Medicare, Medicaid, and CHIP. The CMS works ...