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CMS announced that it will not be finalizing the ACA Medicaid federal upper payment limits for multiple source drugs as previously intended.

Today CMS published a notice correcting its November 10, 2014 final rule updating the Medicare Hospital OPPS and the ASC Payment System rates and policies for calendar year 2015.

On May 27, 2014, CMS published a final rule updating ACA Affordable Insurance Exchange and insurance market standards beginning in 2015.

CMS has released guidance for long term care (LTC) facilities, including nursing facilities and skilled nursing facilities, on beneficiary disenrollments.

On February 4, 2014, CMS released draft operational and technical guidance to health insurance issuers that seek to offer Qualified Health Plans in a Federally-Facilitated Marketplace.

On March 25, 2015, CMS formally launched the Health Care Payment Learning and Action Network.

The OIG has issued a report on its findings that Medicare in some cases continued to make payments to physicians who have delinquent Medicare debts that have been referred to Treasury for collection.

On July 14, 2015, CMS published a proposed rule to establish a Medicare Comprehensive Care for Joint Replacement (CCJR) model.

CMS published a proposed rule on May 5, 2015 that would update Medicare hospice payment rates and the wage index for fiscal year (FY) 2016.

CMS has announced Medicare Part A and B beneficiary cost sharing amounts for 2017.

The new "Referring Provider DMEPOS Public Use File" includes provider-specific Medicare Part B DMEPOS utilization, payment, and submitted charge amounts broken down by HCPCS code for calendar year 2013.

In a report authored by CMS's Office of the Actuary and published in Health Affairs, CMS projected that healthcare spending would grow by an average of 5.8% in the aggregate over 2014-2024.

As previously reported, CMS announced a Medicare Shared Savings Program/Accountable Care Organization (ACO) "Investment Model" last fall to better coordinate care in rural and underserved areas...

CMS published an interim final rule that implements changes to the payment adjustment for low-volume hospitals and to the Medicare-dependent hospital program.

s implementation of the Affordable Care Act moves forward, primary care physicians will be asked to serve even larger patient populations.

HealthyCT, Inc. has joined the burgeoning ranks of struggling Consumer Operated and Oriented Plans, as the Connecticut Department of Insurance ordered it placed under administrative supervision due to its financial status.

On December 3, 2017, CVS Health, a giant in the retail pharmacy industry, announced plans to acquire Aetna. Aetna is one of the largest medical insurers in the nation ...

The Advisory Opinion was requested by a physician who was excluded for 20 years from Medicare participation as part of a a criminal plea and settlement of a civil False Claims Act settlement.