The Centers for Medicare & Medicaid Services’ 2026 Physician Fee Schedule Final Rule cements a major shift toward value-based, risk-bearing payment models, including the launch of the mandatory ...

Senators have introduced a clean extension for Medicaid to fund cost-based payment models for “tweener” rural hospitals too ...

Updated policies mean the CMS is projected to pay about 2.48 percent more to Medicare Advantage and Part D insurance plans.

Medicare Advantage plans are confronting major 2026 challenges, including shrinking hospital networks, AI-driven claim denials, and rising forced disenrollments, while CMS’s 2027 payment update offers ...

The Trump administration will increase average Medicare Advantage payments by 2.48%, or more than $13 billion, in 2027.

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 ...

Medicare pays for services furnished in a physician’s office based on the Medicare Physician Fee Schedule (MPFS), while Medicare pays for similar services furnished in hospital outpatient departments ...

CMS finalized both of its proposals to remove Medicare payment limitations on site of service and permit more procedures to be performed in lower-cost hospital outpatient or ASC settings. CMS ...

WASHINGTON - Medicare payments made to suppliers for PAP devices generally complied with Medicare billing requirements, according to a new report from the Office of Inspector General (OIG).