Many long-term care providers may not be prepared to meet CMS emergency preparedness requirements—the cost of which is estimated at $370 million the first year.
Insurers say a move by the Trump administration was enough of an olive branch to keep some on the ACA insurance exchanges.
CareCore National, a healthcare utilization management company, has agreed to pay $54 million to settle allegations it fraudulently billed the CMS.
The CMS is proposing smaller pay increases to skilled-nursing facilities, inpatient rehabilitation facilities and hospice care next year.
It's time to check in with the governing party to see how its plan to replace Obamacare is progressing.
Challenges in Illinois are a cautionary tale for the rest of the country and highlight how important it is for Medicaid managed-care plans to work effectively with providers.
Wisconsin last week unveiled plans to overhaul Medicaid by requiring members to pay insurance premiums and undergo a drug screening.
The CMS is exploring how to levy excess readmission penalties fairly on hospitals, based on their patient population.
The Trump administration wants to hear comments on restrictions that the Affordable Care Act placed on physician-owned hospitals.
Hospital reimbursement from Medicare could potentially decrease by $250 billion over a 15-year period under MACRA, according to a new study.
The vendor would be responsible for data on HealthCare.gov, which has been criticized for not properly securing personal information.
Consumers' Choice Health Insurance Co., the failed insurance co-op for South Carolina, has sued the federal government, alleging it's illegally trying to collect loan repayments from the co-op.