CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against ...

Citing “systemic and recurring patterns of noncompliance found during previous surveys,” the federal Centers for Medicare & ...

CMS will change how it selects candidates for the Special Focus Facility Program to put more emphasis on falls, the agency announced Wednesday.

Attorneys general in 18 states have asked CMS to reconsider its repeal of the nursing home staffing mandate and to recast a rule focused on for-profit providers.

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Medicare Advantage is facing unprecedented challenges from a decrease in reimbursement rates and the federal government’s ...

Berwick is a former administrator of the Centers for Medicare and Medicaid Services. He is a senior fellow for health policy and Ducas is the VP of health policy at the Center for American Progress.

In October 2021, the Centers for Medicare and Medicaid Services (CMS) Innovation Center released its new 2030 vision: “A health system that achieves equitable outcomes through high quality, affordable ...

Under a final rule issued by the Centers for Medicare and Medicaid Services, hospital outpatient facilities and ambulatory surgical centers will get a 2.9% Medicare pay increase next year, up from the ...

Urgent care centers can treat many conditions commonly treated in emergency rooms, including sprains, fractures, lacerations, and urinary infections. More than two dozen members of the U.S. House of ...

The Trump administration has finalized the rule that sets government payments to hospital outpatient facilities and ambulatory surgical centers, including a 2.6% rate bump for each. That is an ...