CMS has announced results of demonstration programs for large physician practices, small and solo physician practices and hospitals, in which the agency pays providers for meeting certain quality ...

The Centers for Medicare & Medicaid Services (CMS) recently orchestrated a $5 billion election-year rescue operation for Democrats to hide the true costs of the Biden-Harris administration's Inflation ...

The "Pathways to Coverage" demonstration was borne out of the Health Adult Opportunity guidance released by CMS earlier this year. The Centers for Medicare & Medicaid Services (CMS) announced that ...

CMS has launched a new demonstration that aims to cut costs while improving at-home healthcare services for up to 10,000 Medicare patients with chronic conditions. Under the new Independence at Home ...

Our Health Care Group reviews a new five-year CMS demonstration project requiring ambulatory surgical centers (ASCs) in 10 states to obtain approval before performing certain procedures. The ...

The proposed integrity audit on inpatient rehabilitation facilities in four states during the public health emergency raises a number of concerns for hospitals. Stakeholders are asking the federal ...

Tennessee has been approved by the Centers for Medicare & Medicaid Services to run a demonstration project that will make it the first state to simulate a Medicaid block grant program. The ...

On June 27, 2023, CMS hosted a Special Open Door Forum regarding its Review Choice Demonstration program for Inpatient Rehabilitation Facility Services (IRFs). CMS has stated that the Medicare IRF ...

The Centers for Medicare and Medicaid Services is asking organizations to provide information about artificial intelligence technologies for use in health care outcomes and service delivery as it ...

The decision on how to cover an expensive and controversial new Alzheimer’s drug could be settled by letting Medicare run its own trial to study payment and treatment implications. Aduhelm, from ...

Q: Will the RACs review evaluation and management services on physician claims under Part B? A: Yes, the review of all E & M services will be allowed under the RAC program. The review of duplicate ...

Please provide your email address to receive an email when new articles are posted on . Dialysis clinics treating patients with high social risk faced higher financial penalties in the ESRD Treatment ...