The Centers for Medicare & Medicaid Services Feb. 2 revised its approach to determining grandfathering eligibility by ...
On Jan. 1, CMS launched the latest value-based care model known as the Transforming Episode Accountability Model, or the TEAM ...
Medicare Advantage open enrollment is available for enrollees from now through March 31. What experts say you should know ...
CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.
Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...
CMS clarifies grandfathering rules for Medicaid payment caps, expanding eligibility and freezing approved payment amounts through 2028.
Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...
The Centers for Medicare & Medicaid Services (CMS) released its annual physician pay rule for 2026 on Friday night, which increases physician reimbursement by 3.77% for qualifying providers in ...
The Trump administration plans to increase payments to next year’s Medicare Advantage plans by less than 0.1% on average — ...
CMS released its 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, proposing a net average year-over-year payment ...
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
Medicare does cover skilled nursing care for up to 100 days, but only under limited circumstances, such as when you've just ...
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