US Reps. Jill Tokuda of Hawaiʻi and Nick Begich of Alaska recently introduced two bills to help with Medicare underpayments ...

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% ...

To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, ...

The Centers for Medicare & Medicaid Services (CMS) has unveiled a new initiative aimed at improving prior authorization ...

The Centers for Medicare & Medicaid Services (CMS) has issued a new rule to strengthen standards for the Affordable Care Act ...

By the end of the month, however, CMS will start posting them at the facility level as well. Last September, CMS announced an update to the staffing level case-mix adjustment methodology used to ...

Proposed quality measures from CMS in its Universal Foundation fall largely on primary care to collect and improve, and do not align with the high-value functions of primary care.

In late January, the coordinating committee of the Measure Applications Partnership—a public-private partnership of the National Quality Forum (NQF) and the Centers for Medicare and Medicaid ...