The Center for American Progress and The Arc break down the One Big Beautiful Bill Act, exposing how its deep cuts to ...

CMS should provide stable year-over-year funding to Medicare Advantage for supplemental benefits and incentivize MA plans to ...

The Senate passed President Trump's sweeping spending package, including work requirements for some Medicaid recipients.

CMS is adding prior authorization requirements for certain fee-for-service procedures under traditional Medicare as part of its new Wasteful and Inappropriate Service Reduction model. A total of 17 ...

The "big, beautiful bill" could slim down on who is eligible for services like Medicaid. The Congressional Budget Office ...

Senate and House Republicans would each cut Medicaid spending significantly, and there are some differences between the two ...

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.

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

Patients with chronic respiratory failure who meet usage criteria will have more access to respiratory assist devices.

As Senate Republicans go deep into reconciliation bill-drafting mode, Medicare is increasingly coming up as a potential ...

Orange, Calif.-based Sonrava Health and several of its dental subsidiaries have agreed to pay $540,000 to resolve allegations that it fraudulently submitted claims for reimbursement under Medicare and ...

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 ...