The Trump administration’s Centers for Medicare & Medicaid Services (CMS) has signaled that it will be revamping the process ...

Trump’s pick for health secretary showed a poor understanding of a key part of the job.

Teva Pharmaceuticals is suing the Centers for Medicare & Medicaid Services (CMS) for its implementation of the drug price negotiation program under the Inflation Reduction Act (IRA). Teva claims ...

This national coverage analysis was initiated by CMS in ... blood pressure procedures will continue to be evaluated for coverage based on medical necessity for individual Medicare patients.

MA plans required prior authorizations about 125 times more often than regular Medicare in 2023, demonstrating the barriers patients face in accessing care.

Medicaid MCR is forecasted at 89.9% for 2025, with most rate increases already known. Medicare is expected to see a slightly elevated MCR above target due to utilization pressure and suboptimal recent ...

Trump stopped a program that had been in the works and was intended to give Medicare recipients access to more than 100 ...

“Our Symplicity blood pressure procedure,” CEO ... Private insurers often wait until Medicare covers a device to also extend wide coverage. The CMS analysis is huge news for patients and ...

An expanding prohibition on third-party financial guarantees could lead to more nursing home using lawsuits to collect unpaid ...

International Workforce. The AHA urges Congress to pass the Healthcare Workforce Resilience Act, bipartisan legislation that would recapture 25,000 unused employment-based visas for foreign-born ...

"We are going to love and cherish Social Security Medicare and Medicaid," Trump told reporters ... our sales teams and authors to remove any pressure or influence on our analyses and research.

The Biden administration in November proposed allowing Medicare and Medicaid to cover obesity ... it could take the pressure off lawmakers. “Medicare’s current categorization and restriction ...