On January 1,the Centers for Medicare & Medicaid Services (CMS) launched their new Transforming Episode Accountability Model ...

CMS on Dec. 15 published 24 quality and efficiency measures under consideration for adoption in Medicare programs. HHS employs this pre-rulemaking process to decide on measures for Medicare programs ...

CMS is launching a pilot program aimed at lowering prescription drug costs in Medicaid by aligning prices with those paid in other developed countries. The program is set to begin in January. “CMS is ...

He explained that there is no provision in GLOBE or GUARD that changes what plans, hospitals or pharmacists pay for prescription drugs, and there is no mechanism for shifting the any savings to ...

On May 22, House Republicans passed their budget reconciliation omnibus — the so-called “One Big Beautiful Bill Act” — which would cut hundreds of billions of dollars from Medicaid, among other ...

The Centers for Medicare & Medicaid Services announced a seven-prong update to the Civil Money Penalty Reinvestment Program on Monday. The agency has increased the project funding cap by 20% and also ...

For more than a decade, hospitals have worked to help older adults avoid repeated inpatient stays, incentivized by a federal ...

Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...

In a letter to Gov. Tim Walz, Dr. Oz said the Centers for Medicare and Medicaid Services will start auditing Minnesota Medicaid receipts and defer payments to 14 high-risk programs.