CMS is brokering outcomes-based agreements on behalf of Medicaid programs. Thirty-three states, along with Washington, D.C., ...

Remote patient monitoring companies see a win in Medicare's plan to expand coverage, and the absence of any proposed ...

Key Takeaways CMS has proposed a mandatory two-sided risk model for specialists treating heart failure and low back pain in outpatient settings. The Ambulatory Specialty Model (ASM) would begin ...

CMS released the 2026 proposed payment rule for hospital outpatient departments and ASCs on July 15. The agency proposed removing 285 mostly musculoskeletal procedure codes from the inpatient-only ...

The American Hospital Association voiced strong concerns following the July 15 release of CMS’ proposed rule for the 2026 hospital outpatient prospective payment system. Four things to know: 1. The ...

The Centers for Medicare and Medicaid Services has named 33 states, as well as Washington, D.C., and Puerto Rico, as participants in its Cell and Gene Therapy Access Model, which is designed to treat ...

A proposed payment rule unveiled Monday by CMS aims to reduce unnecessary spending and boost quality measures, as well as ...

States representing about 84% of Medicaid beneficiaries are participating in an initiative that enables the U.S. government ...

CMS’ proposed rules for hospital outpatient departments and ASCs includes plans to remove several orthopedic procedures from its inpatient-only list. The plan would phase out the IPO list over three ...

The Centers for Medicare & Medicaid Services July 15 issued a proposed rule ( that would increase Medicare hospital outpatient prospective payment system rates by a net 2.4% in calendar year 2026 ...

The Centers for Medicare & Medicaid Services’ annual pay rate proposal for outpatient and ambulatory surgical centers (ASCs) ...

North Carolina joined 23 other states in suing the U.S. Department of Education for withholding billions of dollars.