Medicare had banned coverage of weight-loss drugs for 23 years, and what happens next isn't as simple as the headlines ...

CMMI has spent more than a decade learning which organizations consistently deliver high-value care. The next step is to let ...

If you rely on Medicare, a significant change is on the horizon. The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of a pilot program that will bring prior authorization ...

AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of ...

CMS is launching a pilot program aimed at lowering prescription drug costs in Medicaid by aligning prices with those paid in other developed countries. The program is set to begin in January. “CMS is ...

The Centers for Medicare and Medicaid Services recently announced negotiated prices for 15 drugs, finalizing the second iteration of the Medicare Drug Price Negotiation Program. The first set of ...

The Trump administration launches fraud probe into New York's Medicaid program, citing alleged waste. Gov. Kathy Hochul has ...

The Centers for Medicare & Medicaid Services announced a seven-prong update to the Civil Money Penalty Reinvestment Program on Monday. The agency has increased the project funding cap by 20% and also ...

It’s all about the errors. Indiana lawmakers fear a heavy financial blow if they don’t reduce errors in the state’s food and health care assistance programs. That’s why they recently passed ...

CMS on Dec. 15 published 24 quality and efficiency measures under consideration for adoption in Medicare programs. HHS employs this pre-rulemaking process to decide on measures for Medicare programs ...

Weaponizing fraud and using it as a pretext to take funds away from states will destabilize their programs and ultimately take health care from people who can least afford it.

Vermont is one of 10 states recently targeted by the GOP-controlled U.S. House Committee on Energy and Commerce. The effort is allegedly to eradicate fraud in the state’s Medicaid program. It’s mostly ...