The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits ...

Starting Jan. 1, 2025, millions of Americans who get their prescription drugs through Medicare could get a major financial break when a $2,000 out-of-pocket spending cap on medications goes into ...

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

For example, brokers and agents may receive ... In the final rule, CMS projects a $726 cap on new Medicare Advantage enrollments and a $313 cap on renewals for the coming plan year, but the ...

CMS expands Medicare Advantage audits to tackle overbilling, recover funds, and boost oversight with advanced tech and ...

The Centers for Medicare & Medicaid Services (CMS ... The following steps show an example of how to use the PFS lookup tool. Go to the PFS lookup tool overview and click the “Begin Search ...

Plus, insights from Marcia Mantell. Medicare beneficiaries will see several key changes in 2026 as the Centers for Medicare & Medicaid Services continues to implement Inflation Reduction Act (IRA ...

A CMS official told reporters Thursday it is unable to compare the discounts to net prices typically paid by Medicare because that is proprietary information. For example, the negotiated list ...