Under the Medicaid program, the federal government helps finance state health care spending with a matching rate calculated based on the Federal Medical Assistance Percentage (FMAP). As we’ve shown ...

This article is the latest in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

Two recent publications issued by CMS clearly indicate that the organization is tightening its requirements for the documentation required to support medical necessity and mandated signatures on ...

Update, December 12: As a technical matter, commenter Laurie Fenton Ambrose is correct that CMS did not officially propose coverage with evidence development (CED), and this post has been edited to ...

According to a note from the American Hospital Association, the Centers for Medicare and Medicaid Services has sent an e-mail to hospitals reminding those facilities participating in the Medicare ...