CMS has introduced a new model to support whole-person care for children up to age 21 enrolled in Medicaid and the Children’s Health Insurance Program. The Accelerating State Pediatric Innovation ...

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CMS is sanctioning Elevance Health and plans to suspend enrollment into the insurer’s Medicare Advantage prescription drug plans, according to a Feb. 27 agency letter. The enrollment and ...

CMS proposes a 0.09% payment increase for MA and Part D, raising concerns about cost implications for insurers and beneficiaries. The proposal aims to improve payment accuracy and risk adjustment, ...

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...

Please provide your email address to receive an email when new articles are posted on . ED boarding leads to missed diagnoses and higher mortality. The Emergency Care Access and Timeliness measure ...

Isabella Cueto covers the leading causes of death and disability: chronic diseases. Her focus includes autoimmune conditions and diseases of the lungs, kidneys, liver (and more). She writes about ...

The 2026 Medicare Physician Fee Schedule boosts virtual care in hospitals and skilled nursing facilities, but complicates reimbursement for providers using telehealth from alternate sites, like their ...

Catheters physically save my life every single day. But my catheters, and with them my health and safety, are now at risk under a new proposal from the Centers for Medicare and Medicaid Services to ...

The Centers for Medicare & Medicaid Services has updated two key timelines for public reporting changes that will affect nursing homes, including delaying a new quality measure calculation. While most ...

The inpatient pay raise reflects a market basket increase of 3.3%, reduced by a 0.7 percentage point productivity adjustment, according to a CMS fact sheet on the final rule. The rule also includes ...

CEO Garrick J. Rochow highlighted a major agreement with a new data center expected to add up to 1 gigawatt of incremental load, which is part of a 9-gigawatt pipeline being pursued in the service ...