A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.

Several major health systems are dropping Medicare Advantage plans in the new year. The hospitals are ending their acceptance of MA plans over issues with prior authorization denials and slow ...

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

Explore PECOS, the Provider Enrollment, Chain, and Ownership System, a streamlined online tool for healthcare providers to manage Medicare enrollments.

Forty-five days after proposing changes that attempt to rein in some of the most-criticized practices of Medicare Advantage plans, federal officials now must filter through nearly 1,000 formal ...

The Centers for Medicare and Medicaid Services (CMS) has set an aggressive goal that by the year 2030 all Medicare beneficiaries with Parts A and B will be in a care relationship with accountability ...

They compensate providers such as doctors and hospitals on quality rather than volume of care, and they engage and assist ...

The Centers for Medicare and Medicaid Services has released updated telehealth guidance that assures reimbursement for virtual care visits that occurred during the government shutdown from Oct. 1 ...

The Centers for Medicare & Medicaid Services (CMS) submitted a regulation to the Office of Management and Budget (OMB) that could upend Medicaid provider tax program financing. The regulation is ...

The answer is yes, Medicare covers hospice, but you must qualify and use a Medicare-approved hospice provider. Many, or all, of the products featured on this page are from our advertising partners who ...

Medicare's cap on out-of-pocket costs helps cancer patients and others taking expensive drugs. With less financial burden, ...