Medicare Advantage payment rates for 2026 are coming in higher than initially expected. But that doesn’t necessarily mean ...

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

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

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

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 ...

Long-term care stakeholders found bright spots in the CY2026 Physician Payment Rule released Monday afternoon by the Centers for Medicare & Medicaid Services. Encouraging signs included proposed ...

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 ...

The Centers for Medicare and Medicaid Services will boost 2026 Medicare Advantage payment rates by about 2.7%, up from projections below 1%. While this offers insurers some relief, rising healthcare ...

The Centers for Medicare & Medicaid Services (CMS) has implemented stricter 2026 Medicare Advantage Star Ratings, raising cut points, reducing the weight of patient experience measures, and adding new ...

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 ...

CMS may have improperly paid $2.26M for virtual services, per HHS OIG audit recommending system edits and clearer billing guidance.