On January 1,the Centers for Medicare & Medicaid Services (CMS) launched their new Transforming Episode Accountability Model ...

Revisions to the US Centers for Medicare & Medicaid Services’ (CMS) competitive bidding programme (CBP) have been welcomed by the medtech industry, despite remaining concerns. The CMS has outlined ...

The CMS has launched a pilot program that is based on an industry-standard application programming interface that gives providers access to patients’ claims data, according to a July 30 news release.

As discussed in last week’s Regs & Eggs blog post, the US Department of Health and Human Services (HHS) recently released additional budget documents to support the department’s fiscal year (FY) 2026 ...

The Centers for Medicare & Medicaid Services announced a seven-prong update to the Civil Money Penalty Reinvestment Program on Monday. The agency has increased the project funding cap by 20% and also ...

CMS is expanding Medicare’s Recovery Audit Contractor program to Medicare Advantage, as required by the ACA. The program was originally implemented for Medicare Parts A and B in January 2010. CMS ...

Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...

Funding for the Affordable Care Act (ACA) navigator program will get cut to just $10 million, the Centers for Medicare & Medicaid Services (CMS) announced Feb. 14. It’s one of the agency’s first ...

As the Trump administration begins to make its mark on the Medicare drug price negotiation program and pursue its own policies on prescription drugs, litigation over program continues. In the two ...

When I investigated and litigated False Claims Act (FCA) cases at the U.S. Department of Justice (DOJ) over the last 10 years, I was often surprised by just how little I knew about the broad array of ...

The model is designed to enhance the quality of life for patients and reduce caregiver burden through person-centered care.