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 ...

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 ...

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 ...

CMS outlined the initial steps it will take to create quality measures aligned across all of the agency's programs, with the first measures released.