Providers and payers say CMS' Meaningful Measures initiative is a step in the right direction, but uncertainties still remain around which measures actually matter.
Health insurers are pushing hard for outcomes-based healthcare quality measures.
The individual mandate to buy health insurance is out. Unpaid community service for unemployed workers who sign up for Medicaid is in.
Everyone—patients, families, physicians and other practitioners, hospitals, healthcare systems and payers—should have access to the same objective information about the quality of healthcare services in their communities.
Sen. Ron Wyden (D-Ore.) believes that CMS Administrator Seema Verma may have broken her conflict of interest agreements by weighing in on several Medicaid waivers. Public records indicate she may not have done anything wrong.
CMS Administrator Seema Verma revealed the agency will convene a group to review the Stark law and how it's impeding providers' move to value-based care.
A new study found the CMS' Medicare Part D program could have saved $3.4 billion between 2012 and 2015 if the agency required generic substitutes for 62 brand-name drugs that weren't covered by the two largest pharmacy benefit managers.
CMS' new voluntary bundled-payment model appeals to health systems and doctors because of the potential to reap financial bonuses and the flexibility to choose from many clinical episodes, industry stakeholders say.
The CMS has issued new guidance intended to help states add work requirements to their programs. Although critics say these policies will face litigation when they're implemented, the Trump administration believes the law is on its side.
The CMS has unveiled a new voluntary bundled-payment model that will be considered an advanced alternative payment model under MACRA.
Maryland's unique rate-setting system for hospital services is getting a one-year extension from the federal government and will run until Dec. 31, 2019. The extension will give federal officials time to complete a review and consider four years of performance through the end of 2017.
Among the sharpest GOP battle cries in 2017 on Capitol Hill was, "No bailouts for insurance companies." Yet the policy landscape is shaping up to do just that.