The Trump administration is proposing a $636 billion cut in federal funding for CMS programs over the next decade.
The CMS is doing a more limited expansion than anticipated of a primary care model that pays practices a monthly fee to manage care for patients.
The Department of Justice's increased focus on investigating alleged fraud in the Medicare Advantage program is likely to change the way insurers do business, according to lawyers who specialize in False Claims Act suits.
House lawmakers pushed back Thursday on the Medicare Payment Advisory Commission's calls to cut Medicare reimbursements to some kinds of providers, saying organizations in their districts tell them they could not survive with the proposed cuts.
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.
Bipartisan Medicare bill praised by providers and insurance administrator as helpful to patients and a money-saver for government.
Providers fear the transition process for removing Social Security numbers from millions of Medicare ID cards will result in patients being denied care and are asking the CMS to loop them in on planning for the change.
The Senate Finance Committee is slated to hold a hearing Tuesday on legislation aimed at improving care for Medicare beneficiaries with chronic conditions.
The CMS this fall will launch new billing codes for doctors who specialize in treating heart failure, after discovering some specialists were being denied Medicare payments.
More than 800,000 clinicians will not have to comply with Merit-based Incentive Payment System reporting requirements, which may save them millions collectively in compliance costs.
The Trump administration hinted to consumer organizations last week that it may repeal an Obama-era regulation that prohibits nursing homes from requiring patients to enter binding arbitration agreements.
How to better understand a plan's appeals process and manage the wide range of challenges that follow its denial.