Starting in 2026, Medicare Advantage enrollees will face new referral requirements and expanded public access to provider network data, while hospitals must meet updated price transparency rules.

Split (or shared) visits—the current term used by the Center for Medicare & Medicaid Services (CMS)—allow non-physician practitioners (NPPs) and physicians who work for the same employer/entity to ...

Final 2027 Medicare Advantage payment updates nearly doubled from the proposal, with roughly half of the $26 billion increase ...

Medicare Advantage Special Needs Plans for chronic conditions offer additional healthcare coverage for people with severe or disabling conditions. A Chronic Condition Special Needs Plan (C-SNP) is a ...

Medicare enrollment can feel overwhelming, but understanding the rules, timelines, and common pitfalls can save you money and stress. From PECOS requirements for providers to avoiding lifelong ...

Cash-based practices, or providers who neither participate with nor bill insurers, are becoming increasingly common, especially in certain specialties such as primary care, women’s health, and mental ...

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).