Federal lawmakers from Florida are asking the Trump administration to junk a planned three-year demonstration in which beneficiaries need to get prior approval before they get home health services.
A tweak in the way some providers are reimbursed under a new primary-care payment model could deter providers from joining the Medicare initiative known as Comprehensive Primary Care Plus.
The awards will go to community-based organizations to provide hands-on training and education to small practices, especially those in underserved areas.
Seema Verma, the nominee to lead the CMS, may claw back parts of a rule that overhauled managed Medicaid programs. She also opposes turning Medicare into a voucher program and thinks rural providers shouldn't participate in alternative payment models.
Drugmakers are fighting back against a request by U.S. senators who want HHS Secretary Tom Price to make it easier to import drugs from Canada as a strategy to combat rising drug prices.
Health expenditures are projected to grow 5.6% a year over the next decade. The numbers affirm previous predictions that spending growth would accelerate because of the ACA's coverage expansions, an aging population and expensive new drugs.
Seema Verma will need clearance from the HHS office of ethics before she can weigh in on any decisions involving states that paid her to help tweak their Medicaid programs.
This may be the week Republicans start putting policy details behind their rhetoric on repeal and replacement of the Affordable Care Act.
Health plans could lose money if the CMS doesn't increase its oversight over managed long-term supports and services programs, according to a report by the Government Accountability Office.
A new study adds fuel to a crucial debate in the ongoing push away from volume and toward value: whether paying a set price for a procedure drives hospitals and doctors simply to perform more of them.
The U.S. Veterans Affairs Department will pay DaVita $538 million to settle allegations it underpaid the dialysis provider for services from 2005 to 2011.
The CMS is proposing a modest increase in baseline Medicare Advantage payment rates for 2018 of 0.25% on average, down from 0.85% last year.