The Centers for Medicare & Medicaid Services June 30 issued its calendar year 2026 proposed rule for the home health ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

The Centers for Medicare & Medicare Services on Tuesday unveiled a sweeping proposed rule that would nullify the mandated public disclosure of negotiated rates between payers and providers and ...

Some providers also point to CMS’ projected 3.7% average increase in overall Medicare Advantage revenue for 2025 as evidence that insurers should not be worried, though actual revenue changes ...

The rate increase was based on a higher estimate of traditional Medicare spending and does not stem from a change in policy, according to CMS. 4. UnitedHealth — the top provider of Medicare ...

On August 18, CMS issued a request for information regarding a concern expressed by insurers, that providers and provider-affiliated organizations are steering people eligible for Medicare and/or ...

The improper payment rate for federal fiscal year 2019 was 7.25%, a decrease from 8.12% in fiscal year 2018, according to a release from the Centers for Medicare & Medicaid Services (CMS) Monday.

The Biden administration finalized a proposal to raise Medicare Advantage payments by 3.32% in 2024, slightly above the 1% raise that it proposed. | CMS finalized a 3.3% pay bump to Medicare ...

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...