“Healthy communities start with access to reliable care, no matter where you live,” said Health and Human Services Secretary ...

The Centers for Medicare & Medicaid Services (CMS) has pulled information on health equity for the Medicaid and Children’s Health Insurance Program (CHIP) through Section 1115 waivers. Now, CMS is ...

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

The federal agency that operates Medicare, the Centers for Medicare & Medicaid Services, is finally recognizing what people have known for, well, thousands of years: Family members are the bedrock of ...

WASHINGTON, DC - APRIL 25: Centers for Medicare and Medicaid Services Administrator Chiquita Brooks-LaSure participates in the American Hospital Association's annual membership meeting at the Marriott ...

Medicare Advantage (MA) payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment. As those overhauls begin to take effect, benchmark payments are set ...

This article is the latest in the Health Affairs Forefront major series, Medicare and Medicaid Integration. The series features analysis, proposals, and commentary that will inform policies on the ...

Explore PECOS, the Provider Enrollment, Chain, and Ownership System, a streamlined online tool for healthcare providers to manage Medicare enrollments.