CMS has proposed only a modest increase in Medicare Advantage payments for 2027, a move many insurers view as an effective ...

Lower prices from the third round of talks among Medicare and manufacturers will be announced in the fall but won’t go into ...

The Centers for Medicare & Medicaid Services (CMS) recently published its Proposed 2026 Physician Fee Schedule Rule (Proposed Rule), with extensive implications for drug pricing, Average Sales Price ...

Medicare Part B covers many essential services, but not everything. Learn the 12 services it pays for and the 5 common costs ...

If you're a retiree who is currently receiving traditional Medicare, you need to be aware that a major change is coming in ...

CMS's proposed 0.09% Medicare Advantage rate hike for 2027 triggered a sharp sell-off across US health insurers, signaling ...

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.

The Centers for Medicare & Medicaid Services (CMS) has pulled information on health equity for the Medicaid and Children’s Health Insurance Program (CHIP) through Section 1115 waivers. Now, CMS is ...

Medicare Advantage is putting some strict new coverage rules in place, including for services some retirees need.

Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...

On Nov. 21, 2025, the Centers for Medicare & Medicaid Services (CMS or Agency) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center ...