States scramble submit Medicaid revalidation plans to CMS by May 23 as part of a federal effort to audit high-risk providers and reduce fraud.

The Centers for Medicare & Medicaid Services (CMS) has proposed a new set of quality measures for Medicaid home- and ...

When CMS announced its proposed quality measures for Medicaid home- and community-based services (HCBS) for 2028, I was a ...

Centers for Medicare & Medicaid Services is tightening Medicare coverage by cutting services deemed non-essential, ...

CMS introduced the first wave of interoperable digital solutions to improve patient experiences and enhance care delivery as part of the agency’s HealthTech Ecosystem initiative.

Healthcare spending reached nearly $5 trillion in 2023, growing by 7.5% from the prior year, according to new data from the federal government. The Centers for Medicare & Medicaid Services (CMS) ...

The Centers for Medicare & Medicaid Services (CMS) recently published its Proposed 2026 Physician Fee Schedule Rule (Proposed Rule), with extensive implications for drug pricing, Average Sales Price ...

It is the latest technical problem related to the Trump administration’s push to create a national directory of health ...

On Nov. 21, 2025, the Centers for Medicare & Medicaid Services (CMS or Agency) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center ...

CMS may have improperly paid $2.26M for virtual services, per HHS OIG audit recommending system edits and clearer billing guidance.

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

Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...