The Centers for Medicare & Medicaid Services is delaying the date by which states must set up grievance systems through which Medicaid beneficiaries can file complaints related to the performance of ...

Centers for Medicare and Medicaid Services COO Kim Brandt talked about her agency’s use cases for artificial intelligence in the ongoing battle against fraudulent medical claims.

CMS blocks durable medical equipment enrollments nationwide with a six-month moratorium to curb suspected fraudulent billing in Medicare programs.

If you rely on Medicare, a significant change is on the horizon. The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of a pilot program that will bring prior authorization ...

Models that provide hybrid payments to primary care practices without adding financial risk are effective at supporting the ...

New York’s mind-boggling $124 billion taxpayer-funded Medicaid program is riddled with fraud and waste, US regulator Dr.

Jay Ludlam’s departure comes as North Carolina's Medicaid program faces some of its biggest challenges yet. But he believes ...

Neal Dunn led 2 letters last year urging approval, but Florida remains one of a handful of states still awaiting action.

A recent spate of Office of Inspector General audit reports calls into question some programs from the Centers for Medicare & Medicaid Services. It remains uncertain why the release of these audit ...

Consistent access to antiretroviral therapy is essential for viral suppression and preventing transmission, and even short-term insurance disruptions can have significant public health consequences ...

The Texas Incentives for Physicians and Professional Services (TIPPS) program is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for ...