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CMS has posted the payment amounts that will apply to Medicare Part B covered drugs for the second quarter of 2016.

CMS has released additional tools to help health plans, vendors, and providers demonstrate compliance with Administrative Simplification Transaction Testing standards.

Preliminary 2020 Medicare clinical laboratory fee schedule (CLFS) payment determinations for new and reconsidered clinical lab test codes are now available for review.

The CMS recently published a proposed rule that sets forth financial integrity and oversight standards for participants in ACA Affordable Insurance Exchanges/Marketplaces.

CMS published a proposed rule to ensure that same-sex spouses in legally-valid marriages are recognized and afforded equal rights in Medicare and Medicaid participating facilities.

CMS is inviting public input on "the evolution of Accountable Care Organization (ACO) initiatives" at CMS, including feedback on a second round of applications for the current Pioneer ACO Model along with new ACO models that encourage greater care integration and financial accountability. Responses should be submitted by March 1, 2014.

CMS published an interim final rule that requires qualified health plan issuers to accept premium and cost-sharing payments made on behalf of enrollees.

CMS has announced that it is holding a meeting of the Advisory Panel on Hospital Outpatient Payment on August 24-25, 2015.

On October 1, 2015, CMS published a request for information (RFI) regarding implementation of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) provisions that mandate significant reforms of the Medicare physician payment system.

In an effort to encourage hospitals to take advantage of the 68 percent settlement offer for previously denied inpatient claims, CMS recently announced a new procedure.

On July 25, 2023, the Centers for Medicare & Medicaid Services (CMS) republished its Drug Price Negotiation Process Information Collection Request (Negotiation Process ICR).

The Centers for Medicare & Medicaid Services (CMS) has published its final Medicare physician fee schedule (PFS) rule for calendar year (CY) 2020.

On June 16, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) titled “Pharmacy Benefit Manager Compensation and Data Collection,” seeking industry input through comments on Section 6224 — part of the Medicare Part D provisions — of the Consolidated Appropriations Act of 2026 (CAA 2026).

In a wide-ranging speech on CMS's efforts to lower Medicaid drug costs, Administrator Seema Verma announced yesterday that CMS ...

The Centers for Medicare & Medicaid Services (CMS) recently published what it described as a "major proposed rule" that covers a number of topics that could have significant effects on providers ...

CMS has just announced that it will delay all enforcement of its Medicare Part D prescriber enrollment regulations until January 1, 2019.

The Centers for Medicare & Medicaid Services has recently launched the National Physician Payment Transparency Program.

Today, CMS released the final rule that will implement the Medicare Shared Savings Program (MSSP) mandated by section 3022 of the Affordable Care Act. Simultaneously, the Department of Justice’s Antitrust Division and the Federal Trade Commission released their joint "Statement of Antitrust Enforcement Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program" (Antitrust Policy Statement).