More than 100,000 individuals may have been impacted by a "data incident" where unauthorized Medicare beneficiary accounts ...

The Centers for Medicare & Medicaid Services (CMS) has announced the launch of the Wasteful and Inappropriate Service ...

The Centers for Medicare & Medicaid Services June 30 issued its calendar year 2026 proposed rule for the home health prospective payment system. This rule would reduce HH payments by an estimated 6.4% ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...

To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, ...

A new report from federal actuaries estimates that national health spending will increase by 7.1% in 2025, with spending ...

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior authorizations under the traditional Medicare program, but some ...

The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.

The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...