Around 6.4 million retirees have traditional Medicare in these states, so the new rules will begin impacting them immediately ...

There is plenty of bad coming out of the federal government on health care. CMS is the exception, write Ezekiel J. Emanuel ...

Under the Medicaid program, the federal government helps finance state health care spending with a matching rate calculated based on the Federal Medical Assistance Percentage (FMAP). As we’ve shown ...

The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

Transparency Scorecard to increase visibility into non-clinical dimensions of MA plan performance that fall outside the appropriate scope of Star Ratings.

Critics say the rule would "roll out the red carpet" for high-deductible junk insurance p ...

ContrastConnect has released a guide clarifying the modalities of direct versus general supervision for contrast ...

CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.

The CMS has proposed several key changes for 2027, to make sure Medicare "works better for the people it serves." ...

Quality data is critical to informing public health actions. | The time has come for CMS to implement performance measures—or quantitative metrics—for public health and clinical data exchange, writes ...

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