The Centers for Medicare & Medicaid Services (CMS) has announced the launch of the Wasteful and Inappropriate Service ...

More than 100,000 individuals may have been impacted by a "data incident" where unauthorized Medicare beneficiary accounts were made using their information. | More than 100,000 individuals may have ...

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.

CMS also oversees Medicaid, the federal health program for low-income families that covers 72 million people. Another 7 million children were enrolled in the Children's Health Insurance Program ...

Former Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure said she is concerned about the speed at which Elon Musk’s Department of Government Efficiency (DOGE ...

CMS seeks data-related input on the Medicare Advantage program in a push to improve transparency among the myriad of plans offered. Kiplinger. Save up to 74%. Subscribe to Kiplinger.

Medicare announces drug prices for historic first round of negotiations. The floor price formula would be designed to capture value to patients, a calculation that is challenging but possible.

The Centers for Medicare and Medicaid Services (CMS) announced Friday it will not be finalizing a rule proposed by the Biden administration that would have allowed Medicare and Medicaid ...

First introduced in November 2024, the proposed rule sought to allow Medicare and Medicaid coverage for glucagon-like peptide 1 receptor agonists (GLP-1RAs) when prescribed alone, not just for ...

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) has unveiled the Calendar Year (CY) 2026 Advance Notice ...

About 3.7 million Medicare enrollees take Eliquis, according to CMS, costing the program about $16 billion per year. CMS negotiated a price of $231 per 30-day supply for the drug. The drug’s ...

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 ...