On Nov. 26, CMS proposed reforms to the Medicare Advantage and Part D programs for contract year 2026, including changes to prior authorization and GLP-1 coverage. Here are 10 things ASC leaders and ...

The Biden administration is attempting to push through a slew of reforms to the controversial MA program in its final months ...

Maximus announces CMS has canceled the early re-procurement of its Medicare contract, allowing the company to continue its current work until 2031.

Last, the administration's proposal also tries to shore up guardrails for the use of AI in health care with edits to existing ...

Federal officials announced Tuesday that audits they launched earlier this year have led to significant new reforms.

The Centers for Medicare & Medicaid Services (CMS) is proposing new limits on Medicare Advantage (MA) plans regarding prior authorization, utilization ...

The Centers for Medicare & Medicaid Services is attempting to cover anti-obesity medications under Medicare Part D and ...

The Centers for Medicare & Medicaid Services (CMS) is taking new steps to improve Medicare Advantage (MA) access and ...

In November 2024, the Department of Health and Human Services Office of Inspector General (OIG) published the results of its ...

Has your Medicare Advantage plan offered to provide you with an in-home health assessment? If so, it could be that they were ...

The Centers for Medicare & Medicaid Services provides two aspects of healthcare coverage: Medicare Part A and Medicare Part B. Part A provides hospital coverage, while Part B covers doctor’s ...