News

Medscape6m
CMS Will Cover At-Home Ventilators
Patients with chronic respiratory failure who meet usage criteria will have more access to respiratory assist devices.
Home Health Care News12h
[Updated] 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% ...
Fierce Healthcare16h
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 Review21h
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 ...
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 ...
Center on Budget and Policy Priorities23h
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 Association13h
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% ...
Becker's Spine Review14h
CMS to add prior authorization for spine procedures in traditional Medicare
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 ...
InsuranceNewsNet23h
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.
McKnight's Home Care7h
New CMS model adds prior authorization to traditional Medicare services
Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...
The New York Times20h
Here’s What’s in the House Version of Trump’s Policy Bill - The New York Times
The House-passed bill includes a large tax cut, as well as more money for defense and immigration enforcement, financed in part by slashing health, nutrition, education and clean energy programs.