CMS is continuing its push to remove inpatient-only status from most surgical procedures, a move that has raised concerns ...

Tens of thousands of Medicare beneficiaries who were on a Value Script drug plan will likely go without prescription drug ...

Earlier this year, Congress enacted legislation requiring hospitals to submit provider-based attestations and obtain separate National ...

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

The Centers for Medicare & Medicaid Services July 1 issued its calendar year 2027 proposed rule for the home health prospective payment system. The rule proposes a 2.4% update, which includes a 3.1% ...

This story has been updated with comment from AHIP. Medicare Advantage Organizations overturned 95% of appealed prior authorization denials for skilled nursing facility admission in favor of enrollees ...

The Trump administration is proposing a new rule to keep hospitals from charging markups on discounted drugs for Medicare ...

Medicare Part A will pay for short-term stays in a Medicare-certified skilled nursing facility. The cost of long-term stays ...

Air ambulances are often the only lifeline between life and death in rural America. Yet the very system patients depend on is at risk of collapse, squeezed by a Medicare reimbursement model that ...

This segment is sponsored by Sample Oklahoma.Alexis Young stopped by the brand new Sample Oklahoma Store to check out what ...