News

This is why 100K Medicare beneficiaries may be issued a new card
About 103,000 beneficiaries may have been impacted by the scam and to ensure their privacy is protected, individuals will be ...
How 17M Americans enrolled in Medicaid and ACA plans could lose their health insurance by 2034
The biggest changes will be to the Medicaid program, which currently covers more than 78 million people. And Congress may cut ...
McKnight's Long-Term Care News50m
New SNF audits ‘tip of the iceberg’ for measure validation, payment consequences
A new skilled nursing facility validation program could be the “tip of the iceberg” in verifying provider quality ...
Health Affairs23h
The Case For Integrated ACOs For Dual-Eligible Beneficiaries
As CMS sets its agenda under new leadership, there are critical opportunities to develop integrated care models for ...
What's the difference between Medicare and Medicaid? What to know as cuts pass Congress
The so-called "One, Big Beautiful Bill," spanning over 900 pages, includes the largest cuts to Medicaid in the program's ...
100,000 Americans getting new Medicare cards for serious reason: ‘Upmost importance’
More than 100,000 Medicare recipients will be receiving new cards and numbers after what the agency is describing as a “data incident.” In a statement, the Centers for Medicare and Medicaid Services ...
Feds arrest scores in $14 billion Medicare/Medicaid fraud. South Florida high on list
Justice Department officials said 96 doctors, nurses and pharmacists were among those arrested across all 50 states.
The Commonwealth Fund1d
The Opportunity for Behavioral Health in the CMS Innovation Center’s 2025 Strategy
The Innovation Center at the Centers for Medicare and Medicaid Services (CMS) is tasked with piloting new models that shift ...
Prior Authorization Coming to Traditional Medicare Starting in 2026
The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...