CMS reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.

Physicians are concerned about Medicare’s proposed physician pay cuts for 2024 — which would reduce the conversion factor by $1.14 (3.34 percent) — and argue the lack of clinically relevant ...

The Centers for Medicare & Medicaid Services (CMS) is continuing to pay Medicare Advantage (MA) plans more -- $76 billion ...

The Centers for Medicare and Medicaid Services plans to issue rules to bring reimbursements from Medicaid managed care plans in line with the rates set under fee-for-service systems, the agency ...

CMS estimates that RADV audits will recover approximately $4.7 billion from MAOs between 2023 – 2032. CMS will specify how MAOs must remit improper payments identified as a result of a RADV audit to ...

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 ...

ST PAUL, Minn.—Apx Alarm's acquisition this week of a central station from CMS, a wholly-owned subsidiary of Protection One, was a uniquely structured deal that will provide a test-bed for a new ...

Hospitals are choosing to co-locate with other hospitals or healthcare entities as they look for ways to become more efficient and develop new care delivery models. AHA has argued that space sharing ...

On July 21, 2022, the Centers for Medicare & Medicaid Services (“CMS”) released its first-ever nationally standardized Home- and Community-Based Services (“HCBS”) quality measure set to encourage ...