Justice Department officials said 96 doctors, nurses and pharmacists were among those arrested across all 50 states.

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 & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...

On Monday, the U.S. Centers for Medicare & Medicaid Services (CMS) unveiled its proposal for the 2026 home health payment ...

The Senate passed its version of a massive 10-year reconciliation bill Tuesday, keying up a new fight in the House, where some Republicans said they remain ardently opposed to the bill’s steep ...

To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, ...

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

A new report from federal actuaries estimates that national health spending will increase by 7.1% in 2025, with spending ...

Lawmakers from different sides of the aisle, and sometimes even on the same side of the aisle, have had different messages on ...

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 ...

Cadence, a remote monitoring service provider, has stealthily created an advanced primary care business to help health ...

Two Republican senators are urging the Centers for Medicare and Medicaid Services (CMS) to “use full authority under law” to preserve the Medicare home ...