Hospital administrators, worried about denials, have been pushing doctors to perform knee replacement procedures in outpatient settings.
In a speech to insurers, CMS Administrator Seema Verma claimed patients would struggle to find a doctor if the U.S. implements "Medicare for all."
The Trump administration is looking at new risk structures, including direct provider contracting, to drive cost-saving behaviors in the healthcare industry. But CMMI Director Adam Boehler said that won't dent the Medicare Advantage business.
The CMS released a proposed rule that would require drugmakers to list prices for their drugs in their consumer advertising.
Healthcare experts widely expected the Affordable Care Act to hobble Medicare Advantage. But Since 2010, enrollment in Medicare Advantage has doubled to more than 20 million enrollees, growing from a quarter of Medicare beneficiaries to more than a third.
UnitedHealth Group leads the pack into earnings season with its third-quarter results. In the second quarter, the company reported both higher revenue and profit.
Home health agencies that participated in an abandoned prior authorization model will get less scrutiny under an upcoming revamped version of the effort, according to the CMS.
Ahead of Medicare open enrollment, the CMS said seniors enrolled in traditional Medicare will pay slightly higher premiums and deductibles in 2019.
The CMS is seeking input on whether it should expand Medicare coverage for blood pressure monitoring devices. Up to 55% of the Medicare population has hypertension, according to federal data.
The only hospital in Grand Prairie, Texas, has come under CMS scrutiny after several visits revealed that untrained personnel were caring for patients or patients were not receiving needed treatment.
Recent changes to the CMS' Hospital Readmissions Reduction Program will result in smaller penalties at teaching and community hospitals and larger penalties at specialty hospitals, according to a Modern Healthcare analysis.
The CMS wants to make it easier for patients to get access to medical devices.