The Centers for Medicare & Medicaid Services Feb. 2 revised its approach to determining grandfathering eligibility by ...

On Jan. 1, CMS launched the latest value-based care model known as the Transforming Episode Accountability Model, or the TEAM ...

CMS clarifies grandfathering rules for Medicaid payment caps, expanding eligibility and freezing approved payment amounts through 2028.

CMS proposes nearly flat Medicare Advantage payments for 2027, with a 0.09% increase and updated risk adjustment policies.

The Trump administration plans to increase payments to next year’s Medicare Advantage plans by less than 0.1% on average — ...

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...

Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...

The Centers for Medicare & Medicaid Services (CMS) released its annual physician pay rule for 2026 on Friday night, which increases physician reimbursement by 3.77% for qualifying providers in ...

Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes. But some health policy experts ...

ASCs will continue to receive separate Medicare reimbursement for certain non-opioid pain management devices in 2026 under the NOPAIN Act.  As part of the ruling, CMS confirmed the Game Ready Pro 2.1 ...

If you get sick or injured and need hospital care, which can cost thousands of dollars, would you be able to afford it? For many seniors on Medicare, it may be a challenge, according to a recent ...

Dear Savvy Senior, To avoid any future health care surprises, can you tell me what original Medicare doesn’t cover in 2026? — ...