American Hospital Association

CMS proposes increases to Medicare hospital outpatient department payment rates, site-neutral and 340B changes

The Centers for Medicare & Medicaid Services July 2 issued a proposed rule that would increase Medicare hospital outpatient ...
Becker's Spine Review

CMS fraud crackdown could put spine, orthopedic groups under microscope

The next major Medicare risk for spine and orthopedic practices may not begin with a denied surgical claim. It may begin with the enrollment file. CMS’ July 1 proposed rule is formally a home health ...
Healio

CMS rule further reforming prior authorization commendable, still needs work, ACR says

A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and ...

Minnesota families struggle as thousands of providers no longer able to bill Medicaid amid fraud crackdown

Colin McGuire is trying to learn to walk with a special device. Born with cerebral palsy, he's required to undergo different ...
American Hospital Association

CMS proposes updates to home health payments for CY 2027, updates to provider enrollment and quality and value-based purchasing programs

The Centers for Medicare & Medicaid Services July 1 issued its calendar year 2027 proposed rule for the home health prospective payment system. The rule proposes a 2.4% update, which includes a 3.1% ...
Becker's Hospital Review

CMS seeks new powers to remove ‘problematic’ Medicare providers — 8 things to know

CMS wants to raise Medicare home health payments by 2.4% in 2027 while arming itself with sweeping new authority to remove “problematic” and noncompliant providers — and recoup their payments — across ...

In one NYC neighborhood, dozens of adult daycares bill millions to taxpayers. Now the feds have questions.

Investigations are underway into possible fraudulent activity at some of these kinds of facilities across New York, CBS News ...
Becker's Hospital Review

CMS floats permanent status for Medicare drug price negotiations: 5 things to know

CMS said June 12 it seeks to shift the Medicare Drug Price Negotiation Program from guidance-based administration to codified regulation. Here is what hospital and health system leaders need to know.
WSOC-TV

CMS students gain healthcare experience through Atrium internship program

CHARLOTTE — Atrium Health is working with Charlotte-Mecklenburg Schools to help tackle a statewide shortage of healthcare workers. The paid internship program is made possible through a partnership ...
The New York Times

Some Medicare Patients Can Now Get Free CBD

The Trump administration has authorized a test program to see if the cannabis compound can ease some symptoms and reduce health care costs among older patients. By Jan Hoffman The Trump administration ...
Seeking Alpha

Cv Sciences outlines CMS program allowing up to $500 annually in hemp-derived products as it targets positive cash flow in H2 2026

"We continue to make progress against our top priorities of maintaining strong margins, reducing our cost structure and moving the business towards sustainable profitability," said CEO, Secretary & ...
FedScoop

With AI assist, CMS has ‘longer leash’ to fight fraud now, official says

Jeneen Iwugo, right, acting director of CMS's Center for Program Integrity, and Sarah Harvey, left, director of the GAO's Science & Technology Assessment division, participate in a panel discussion at ...