Medicaid and CHIP cover almost half of American children. A new CMS policy means we will know less about their health.

The Centers for Medicare and Medicaid Services (CMS) no longer will require states to report childhood and adolescent ...

The U.S. Government Accountability Office released a report April 5 outlining recommendations to improve CMS’ oversight of Medicare beneficiary data security. For the report, the GAO analyzed ...

Enabling Proactive Intervention: By streamlining workflows and improving data visibility, real-time care coordination ...

The Trump administration has released new estimates on improper payments in key government insurance programs. | The Trump ...

The Medicare-Medicaid Coordination Office and the Center for Medicaid, CHIP and Survey & Certification sent a bulletin to Medicaid state agencies on May 11 to inform them of their newly-expanded ...

Federal officials are considering significantly expanding how much information nursing homes must record in the Minimum Data Set, potentially adding reporting for patients outside of Medicare to ...

CMS has finalized rules permitting designated organizations to share or sell claims data and analyses to providers, employers and other parties to use the information to improve care. The rule affects ...

iv) payers support outcomes and value-based models through appropriate data exchange. The announcement calls on the healthcare industry to voluntarily align around a shared framework for data and ...

Hospital programs providing at-home acute care are widely appreciated by patients and clinicians but still don’t have a bulletproof argument in respect to quality and costs as compared to a ...

CMS’ decision to phase out the Medicare Inpatient Only list in 2026 marks a consequential site-of-service policy that could rapidly accelerate the migration of complex procedures to outpatient ...