ORLANDO -- A large crowd filled a ballroom at the HIMSS Annual Conference & Exhibition on Monday to hear from the Centers for Medicare and Medicaid Services on how to handle payment reform under the ...

Updated policies mean the CMS is projected to pay about 2.48 percent more to Medicare Advantage and Part D insurance plans.

On July 14, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released the proposed rule for the Calendar Year (“CY”) 2026 Medicare Physician Fee Schedule (“PFS”), formally titled CMS-1832-P.

When CMS announced its proposed quality measures for Medicaid home- and community-based services (HCBS) for 2028, I was a ...

The Centers for Medicare and Medicaid Services (CMS) aims to transition all traditional Medicare beneficiaries from standard fee-for-service arrangements to accountable care relationships in ...

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 has proposed a 2.4% net increase in Medicare inpatient prospective payment system rates for FY 2027, adding $1.9 billion to hospital payments compared with ...

The Centers for Medicare & Medicaid Services (CMS) recently proposed the Guarding US Medicare Against Rising Drug Costs (GUARD) Model, a drug payment model that aims to distribute rebates for certain ...

The Centers for Medicare & Medicaid Services (CMS) has finalized payment policies for Medicare Advantage (MA) and Part D—which covers prescription drugs—for 2027. The updated policies mean that the ...