Care payment models CMS introduced in 2025 include six new initiatives targeting drug pricing, chronic disease, and specialty care payments.

The Centers for Medicare & Medicaid Services (CMS) recently proposed the Guarding US Medicare Against Rising Drug Costs (GUARD) Model, a drug payment model that aims to distribute rebates for certain ...

CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care ...

CMS will end health equity and social drivers of health reporting requirements for its end-stage renal disease quality reporting and incentive programs on Dec. 31. CMS administers the End-Stage Renal ...

The Centers for Medicare and Medicaid Services has released the final part one guidance for the new Medicare Prescription Payment Plan. The guidance for Medicare Part D plan sponsors is to ensure they ...

CMS has finalized a 2.6% payment increase for inpatient services, boosted DSH payments, established new interoperability rules for prior authorization, and confirmed the launch of a controversial ...

Doctors and other health professionals who accept Medicaid and the Children’s Health Insurance Program (CHIP) are typically ...

The inpatient pay raise reflects a market basket increase of 3.3%, reduced by a 0.7 percentage point productivity adjustment, according to a CMS fact sheet on the final rule. The rule also includes ...

A $12 billion budget deficit is forcing California to end its nascent Skilled Nursing Facility Workforce and Quality Incentive Program after just two years — a fate similar programs in other states ...

RICHMOND, Va. — Virginia's Medicaid agency will no longer give out quality-based bonus payments to the state's worst-performing nursing homes. The change comes on the heels of CBS 6's reporting that ...