Under the Medicaid program, the federal government helps finance state health care spending with a matching rate calculated based on the Federal Medical Assistance Percentage (FMAP). As we’ve shown ...
CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.
Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. Updated October 30, 2024: This post was revised to note that ...
The CMS has proposed several key changes for 2027, to make sure Medicare "works better for the people it serves." ...
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CMS Makes Push to Maximize Donor Organs, Even the Imperfect Ones
Agency aims to increase federal oversight amid reports of "unsafe practices" ...
The Centers for Medicare and Medicaid Services wants more evidence about the effectiveness of the medication lecanemab before it will cover the drug for Medicare patients suffering from the early ...
The CMS has released proposed notices showing what information insurers will have to disclose to consumers about excessive premium rate increases. Starting in July, insurers must report and justify ...
Purva Rawal, PhD, senior advisor and chief strategy officer, Center for Medicare and Medicaid Innovation, addressed attendees at the Association for Accessible Medicines' Access! annual meeting, held ...
The Centers for Medicare & Medicaid Services has corrected some therapy coding information in the recently released Minimum Data Set 3.0 Resident Assessment Instrument Manual. The updates affect ...
Quality data is critical to informing public health actions. | The time has come for CMS to implement performance measures—or quantitative metrics—for public health and clinical data exchange, writes ...
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