CMS on Friday released an informational bulletin with updated federal poverty level standards applied to eligibility criteria ...
CMS reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.
Officials from the federal government had a big presence at JPM this year and were actively engaging with the healthcare industry. The CMS wants to spur private sector innovation to move the needle on ...
The Centers for Medicare & Medicaid Services (CMS) has pulled information on health equity for the Medicaid and Children’s Health Insurance Program (CHIP) through Section 1115 waivers. Now, CMS is ...
The Medicare Payment Advisory Commission Jan. 15 voted to recommend that Congress update Medicare payment rates for hospital ...
The Centers for Medicare & Medicaid Services (CMS) recently published its Proposed 2026 Physician Fee Schedule Rule (Proposed Rule), with extensive implications for drug pricing, Average Sales Price ...
On Nov. 21, 2025, the Centers for Medicare & Medicaid Services (CMS or Agency) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center ...
Medicare Advantage is putting some strict new coverage rules in place, including for services some retirees need.
Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...
Retirees have come to rely on a convenient medical service. Medicare will only provide coverage for this service through Jan.
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