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

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 ...

Original Medicare primarily operates on a fee-for-service (FFS) system, billing for each service provided. Some Medicare Advantage (Part C) plans also use this payment model via private FFS plans.

WASHINGTON, DC - APRIL 25: Centers for Medicare and Medicaid Services Administrator Chiquita Brooks-LaSure participates in the American Hospital Association's annual membership meeting at the Marriott ...

Days before the 2024 presidential election, the Centers for Medicare & Medicaid Services (CMS) released an unpublished version of the final calendar year 2025 physician fee schedule (PFS) final rule.

Senator Ron Wyden (D-Oregon) was a pioneer in standardizing the Medicare Supplemental benefits program. Medicare Advantage would benefit from similar reforms. After months of speculation and ...

Medicare Advantage (MA) has grown rapidly over the course of the past two decades and is projected to continue to grow. We examined sources of new enrollment in MA and analyzed the switching patterns ...

This article is the latest in the Health Affairs Forefront major series, Medicare and Medicaid Integration. The series features analysis, proposals, and commentary that will inform policies on the ...