Many state Medicaid programs suffer awful reputations: outrageously high per capita spending, mediocre care quality, coverage for medically dubious procedures, and widespread fraud, to name just a few ...

CMS filed a proposal July 11 to eliminate a rule that requires state Medicaid plans to record their fee-for-service payments. The proposal, signed by HHS Secretary Alex Azar and CMS Administrator ...

The Centers for Medicare & Medicaid Services (CMS) published two significant updates to its Medicaid regulations on May 10, 2024. The two Final Rules, a Medicaid Access Rule and a Medicaid Managed ...

CMS is applying pressure on health systems to transition from fee-for-service to value-based care by 2030. While value-based care has been discussed for years, many institutions are not yet fully ...

OKLAHOMA CITY (KFOR) — The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, ...

Implementation and enforcement of these remediation requirements will be an important area for Medicaid plans and providers to monitor in forthcoming years, as the Rules create new access standards ...