A proposed payment rule unveiled Monday by CMS aims to reduce unnecessary spending and boost quality measures, as well as launch a new payment model centered on chronic disease management. "This rule ...

The Trump administration has unveiled yet another new payment model, this one focused on the cost of GLP-1 therapies. | The Trump administration has unveiled yet another new payment model, this one ...

The Centers for Medicare & Medicaid Services (CMS) unveiled a sweeping proposed payment rule on Monday aimed at overhauling reimbursement policies to reduce waste, improve chronic disease care, and ...

The Biden administration has finalized proposed payment rates for inpatient services in the coming year, and they're not likely to be welcomed by hospitals. Initially, the Centers for Medicare & ...

CMS published its fiscal year 2026 Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System final rule on July 31. Here are eight things to know: 1. CMS finalizes ...

The Centers for Medicare & Medicaid Services (CMS) recently proposed the Guarding US Medicare Against Rising Drug Costs (GUARD) Model, a drug payment model that aims to distribute rebates for certain ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. The Inflation Reduction Act is having quite an impact on 2025 ...

Below is a list of updates CMS has released about its payment models: 1. Community Health Access and Rural Transformation Model ACO Track CMS has delayed requests for applications from ACOs to ...

The Medicare prescription payment plan may help Medicare beneficiaries with higher out-of-pocket drug costs manage their monthly medication expenses by allowing them to pay less each month over time.

The inspector general report suggests that a new mandate in Republicans’ One Big Beautiful Bill could help reduce these kind ...