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WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services has issued an interim final rule establishing a nationwide framework requiring certain adult Medicaid recipients to complete at least 80 …
CMS Issues Medicaid Work Rule Ahead of 2027 Deadline Read More
WASHINGTON, D.C. — Health care providers and insurance companies will pay significantly lower fees to resolve certain payment disputes under a new federal rule that officials say is designed to …
Surprise Medical Bill Disputes Could Become Cheaper and Faster Under New Federal Rule Read More WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services proposed sweeping restrictions on state Medicaid payment arrangements that federal officials argue have inflated reimbursement rates far above Medicare benchmarks, …
CMS Targets Medicaid Payment Loopholes in $775 Billion Push Read More WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services recently launched a new industry initiative aimed at accelerating adoption of electronic prior authorization systems ahead of federal interoperability requirements …
CMS Expands Electronic Prior Authorization Push Before 2027 Rule Read More
WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services has imposed a six-month nationwide freeze on new Medicare enrollments for hospices and home health agencies as federal officials intensify …
CMS Freezes New Hospice Enrollments in Fraud Crackdown Read More
WASHINGTON, D.C. — Medicare beneficiaries could soon gain significantly cheaper access to certain weight-loss and diabetes-related medications under a new federal demonstration program that will cap some monthly GLP-1 prescription …
Medicare to Cap Some GLP-1 Drug Costs at $50 for Seniors Read More WASHINGTON, D.C. — Federal health officials have pushed back key deadlines for a new Medicaid drug pricing initiative after strong interest from pharmaceutical manufacturers and state programs.
CMS Extends Drug Pricing Program Deadlines Amid Demand Read More
WASHINGTON, D.C. — Medicare patients could gain access to certain breakthrough medical devices months sooner under a new federal initiative designed to speed up approval and coverage decisions.
Medicare Patients Could Get New Devices Faster Under Plan Read More
WASHINGTON, D.C. — Seniors undergoing knee, hip, and ankle replacements could see more coordinated care and potentially lower costs under a proposed nationwide Medicare payment model expansion.
Medicare Plan Could Cut Costs for Joint Surgeries Read More WASHINGTON, D.C. — Patients may soon be able to access and share their medical information more easily through new digital tools unveiled by the Centers for Medicare & Medicaid Services …
CMS Pushes Digital Health Shift With New App Ecosystem Read More