Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

The Centers for Medicare & Medicaid Services (CMS) is looking at ways it could incentivize hospitals to purchase supplies and medications made in the U.S.—including via a potential new “Secure | A ...

The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...

CMS announced the most recent round of awards Dec. 18, with hospitals receiving modest but targeted increases across primary care, behavioral health and other shortage specialties. The awards increase ...

CMS is considering paying hospitals that prioritize buying personal protective equipment and essential medications manufactured in the U.S., according to a proposed rule the agency published Jan. 29.

The CMS will crack down on overpayments to Medicare Advantage plans, moving to significantly expand its capacity to audit whether insurers are inflating their enrollees’ illnesses, the agency said ...

The Centers for Medicare & Medicaid Services Jan. 26 released an advanced notice of proposed rulemaking seeking comments on ...

HealthDay News — Fifteen prescription medications, including Botox and the diabetes drug Trulicity, will be the focus of ...

CMS released its 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, proposing a net average year-over-year payment ...

To avoid any future health care surprises, can you tell me what original Medicare doesn’t cover in 2026? — New Beneficiary Dear Beneficiary, It’s a great question. While original Medicare — Part A and ...