An expert explains how the new program, which launches July 1, will work and who is eligible ...
One might ask how CMS’ leaders came to the remarkable decision to pause the implementation of the statutorily mandated Medicare imaging Appropriate Use Criteria program. In our view, the answer is ...
The Medicare Shared Savings Program encourages hospitals and other healthcare providers to form accountable care organizations (ACOs) to deliver coordinated, high quality care to Medicare enrollees ...
The Trump administration's promised Medicare pilot program for GLP-1 weight-lossdrugs was positioned to help cover the costs of these medications, helpingseniors avoidwasting money in retirement while ...
Most of the recent focus around the implementation of the Inflation Reduction Act (IRA) by the press and the industry has been on the Medicare Drug Price Negotiation Program and its potential impact ...
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 ...
The Centers for Medicare and Medicaid Services is proposing to extend the rule allowing all suppliers under the Medicare Diabetes Prevention Program (MDPP) to use specific MDPP COVID-19 Public Health ...
Three drug companies—Boehringer Ingelheim, AstraZeneca, and Novo Nordisk—allege that guidance on the Medicare Drug Price Negotiation Program issued by the Centers for Medicare and Medicaid Services ...
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Six states are part of a pilot program by CMS to reduce 'waste, fraud and abuse' Washington state healthcare providers report they are waiting 15 to 20 days for prior authorization answers, rather ...