The proposal seeks to align payments across care settings, eliminate outdated inpatient-only rules, and introduce stricter ...

A press release posted to CMS’s website on Tuesday afternoon began thus: “The Centers for Medicare & Medicaid Services (CMS) today issued the Calendar Year (CY) 2026 Hospital Outpatient Prospective ...

The Centers for Medicare & Medicaid Services July 15 issued a proposed rule ( that would increase Medicare hospital outpatient prospective payment system rates by a net 2.4% in calendar year 2026 ...

CMS has released its Outpatient Prospective Payment System proposed rule for 2026, which would raise Medicare outpatient payment rates next year. Five things to know: 1. Payment update. CMS proposed ...

CMS Monday proposed a 2026 physician payment rule that proposes a new payment model focused on improving chronic disease ...

Some physician groups are unhappy with the proposed changes to the Medicare Physician Fee Schedule for 2026 that the Centers ...

In an about-face, the administration is cracking down on so-called skin substitutes, overused treatments that cost Medicare ...

Funneling money to for-profit companies by rewarding them for denying health care coverage through using unproven, manipulable AI models is not the answer. The Trump Administration is bringing prior ...

The sweeping regulation proposes notable changes to how Medicare pays physicians, but overall results in a modest bump to ...

Health insurance companies have pledged to improve prior authorization with 6 key reforms, according to the HHS.

As more adults are looking for help to face overactive bladder (OAB), they wonder if their plan will cover the essensials for mediactions like Gemtesa (vibegron). The question th ...

Trump admin to use AI for Medicare authorization denials, raising concerns about access to care and increased denials for ...