Medicare will allow automatic reenrollment in its Prescription Payment Plan in 2026, reducing paperwork and helping seniors ...

Alongside their annual criticisms of the Centers for Medicare and Medicaid Services’ annual pay rate increase for inpatient ...

Medicare Advantage beneficiaries who depend on the insurance to cover key health care costs received some good news this week: the Centers for Medicare & Medicaid Services (CMS) finalized the 2027 ...

We are about to sit down to a large meal of Medicaid regs, many of which stem from requirements included in the One Big Beautiful Bill Act (OBBBA).

The Trump administration issued new guidance Tuesday outlining changes to state-directed Medicaid payments, citing these outlays as a key issue in the push to root out fraud, waste and abuse. The ...

The American Hospital Association appreciates the opportunity to comment on the CMS’ proposed Comprehensive Care for Joint Replacement Expanded (CJR-X) Model.

The trust fund underpinning Medicare’s hospital benefit is set to run out of money one quarter earlier than previously ...

The Ohio Department of Medicaid suspended pay to 49 Medicaid home health providers investigators deemed to be “high-risk” due to exhibiting potential fraud red flags, according to the department.

In the past, any increase in Medicare payments for nursing homes would have been cause for celebration, but there were more thorns for the sector hidden in this year’s payment rule from the Centers ...

Medicaid program integrity efforts have been ramping up quickly, and last week we saw clear evidence of this trend when the ...