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

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

New research using fossil bone analysis is overturning traditional scientific views on the growth and lifespan of ...

The American Hospital Association (AHA) appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services’ proposed rule on the Increasing Organ Transplant Access (IOTA) Model.

Astro I learned is a framework for building these types of sites and landing pages — ones that don’t tend to change much or ...

The Bundled Payments for Care Improvement Advanced Model (BPCI-A) aims to reduce hospital spending and generate savings for the Centers for Medicare and Medicaid Services (CMS). The design of BPCI-A ...

Following the repeal of the federal nursing home staffing mandate, attorneys general from 18 states along with resident advocate associations are asking ...

Older workers changing jobs after 65 face Medicare enrollment pitfalls. Learn about Special Enrollment Periods, avoiding gaps ...

The Centers for Medicare & Medicaid Services agreed last spring to give ICE officials direct access to a Medicaid database.

Trump's plan is to establish “most favored nation” pricing to bring U.S. prescription drug pricing more in line with what other countries pay.

This growth is driven by rising surgical volumes, favorable reimbursement frameworks, expanding CMS-approved procedures, technological advancements, and increasing patient preference for faster, lower ...

This paper provides background on the work requirement, outlines system changes that will be needed, describes different ...