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.

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.

Avita Medical’s RECELL Go wound-healing system is poised for 2026 as CMS payment issues ease. Read here for a detailed ...

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 ...

CMS said about 23 million individuals selected plans across Healthcare.gov and the state-based exchanges. That figure ...

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

Despite the turbulence that has marked India’s transition under a new management group led by head coach Gautam Gambhir, especially in Tests and to so.

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 ...

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