On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced[1] an aggressive plan (Plan) to expand its ...

The Centers for Medicare and Medicaid Services May 30 released a notice requesting comments on a proposed Medicare Advantage ...

The Trump administration has issued new draft guidance for the third cycle of Medicare drug price negotiations. The proposals seek to boost transparency in the program and put a focus on ...

The vast majority of diagnoses codes that CVS subsidiary Coventry submitted to the CMS between 2018 and 2019 weren’t ...

The guidance aims to increase program transparency, prioritize the selection of drugs that cost Medicare the most and ensure fair pricing does not hinder pharmaceutical innovation, the agency said ...

CMS draft guidance includes Medicare Part B drugs in 2026 price negotiations, with new prices set for 2028. Public comment period on CMS proposal is open until June 26, 2025. Ready to turn the ...

Just 12,000 of the nearly 250,000 newly eligible Georgians ultimately received Medicaid, the public health insurance program for the poor and disabled, well short of the state’s initial 50,000 goal.

CMS added that feature to the Medicare Shared Savings Program last year and included it in the ACO Primary Care Flex model that launched in January. ACOs and their participants welcomed those ...

Medicaid law requires states to finance at least 40 percent of the program, but as states invest more, the federal government will match the contributions. States can pay for their share through ...

Some hospital groups are criticizing the proposal, which would come as yet another blow to the Medicaid program. Hospitals have been embroiled in a firestorm of lobbying to stave off sweeping ...

CMS executive staff pointed to improvements in middle schoolers’ scores between beginning-of-year and middle-of-year assessments as evidence of the program’s effectiveness. The CMS Board of ...

“This proposed rule stops the shell game and ensures federal Medicaid dollars go where they’re needed most—to pay for health care for vulnerable Americans who rely on this program, not to ...