News

Feds announce massive takedown of Medicare fraud suspects in "Operation Gold Rush"
The federal government revealed new details Monday about how they recently took down a massive Medicare fraud operation that ...
American Hospital Association1h
CMS proposes 6.4% decrease to home health payments for CY 2026, updates to quality and value-based purchasing programs
The Centers for Medicare & Medicaid Services June 30 issued its calendar year 2026 proposed rule for the home health prospective payment system. This rule would reduce HH payments by an estimated 6.4% ...
Home Health Care News2h
CMS Proposes 6.4% Home Health Medicare Payment Cut For 2026
The U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2026 home health final payment rule on Monday. The rule projects a 6.4% ...
Becker's Spine Review2h
Prior auth added to some spine procedures in new CMS model
Some spine procedures that are traditionally fee-for-service Medicare cases will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is ...
Fierce Healthcare4h
New CMMI model injects 'enhanced technologies' in Medicare prior authorization to limit fraud
The Centers for Medicare & Medicaid Services (CMS) rolled out an Innovation Center model Friday to test new prior ...
Becker's Hospital Review9h
CMS to add prior authorization for traditional Medicare services
CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative aimed at reducing unnecessary services in traditional Medicare and streamlining the prior ...
InsuranceNewsNet10h
CMS launches WISeR Model for Medicare prior authorization
The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.
Tax Cuts, Student Loans, Medicaid: What’s in the Senate GOP’s Megabill
The GOP package includes tax reductions, Medicaid cuts and changes to student loans.
Rutgers University20h
Publicly Insured Patients with Opioid Addiction Are Less Likely to Receive Treatment Services
“It’s the exact opposite of how we should be helping people,” said Lister. “We should aspire to provide health care services ...
Center on Budget and Policy Priorities1d
Senate Reconciliation Amendment Would Cut Hundreds of Billions More From State Medicaid Funding, Putting Coverage at Risk for Millions
Late Saturday the Senate voted to proceed to debate on the One Big Beautiful Bill Act, which is the opposite of beautiful: ...
American Hospital Association3d
CMS announces new prior authorization program pilot
The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization ...