The Trump administration is delaying a voluntary model that aimed to expand access to GLP-1s in Part D after pushback from ...
CMS pauses weight-loss BALANCE model for Medicare Part D after insufficient plan sponsor participation, while Medicaid pilot continues.
CMS require states audit Medicaid providers with plans due in 30 days to strengthen fraud detection and program integrity nationwide.
On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule[1] that would require ...
CMS greenlights more than 150 digital health companies for its ACCESS experiment, a new program for tech-backed chronic care ...
Drugs were left out of a 2024 rule streamlining prior authorizations, including by making decisions electronic and requiring ...
CMS recently announced it is developing a suite of resources to support states in implementing the Medicaid work requirement ...
In a recent interview, Food and Drug Administration Commissioner Marty Makary declared that Medicare should automatically cover FDA-designated breakthrough devices — a rare and refreshing commonsense ...
This story has been updated after publication with reaction comments from hospital industry associations. | The IPPS and LTCH ...
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