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CMS awarded Serco a $109 million contract to review a randomized sample of claims for the agency’s Comprehensive Error Rate Testing program The seven-year contract will be performe...
The Centers for Medicare and Medicaid Services (CMS) aims to play a bigger role in health tech modernization efforts, including leading interoperability initiatives.
The Centers for Medicare & Medicaid Services has added language ...
A final rule updates performance reviews, codifies existing requirements and brings new conflict-of-interest protections for the nine organizations that regularly survey and accred...
CMS has issued an interim final rule that implements new work requirements for adults on Medicaid.The new statutory requirement will apply to adults who are aged 19 to 64, not preg...
The payment by Elevance Health to the Centers for Medicare & Medicaid Services comes as the agency threatened to bar new enrollments in the company’s plans.
CMS is proposing changes to provider enrollment provisions aimed at strengthening the agency's ability to recover improper payments and remove noncompliant providers and suppliers...
Beneficiaries face a series of complex decisions in enrolling in Medicare coverage. A key federal panel outlines some of the pain points, alongside other policy recommendations and...
Last year, we wrote in the Los Angeles Times that the Centers for Medicare and Medicaid Services was done chasing criminals after we'd already handed them money. We said we were bu...
CMS has awarded nearly $2 billion in contracts for Medicare claims modernization effort HealthEdge and Peraton were selected to help replace legacy fee-for-service processing syste...
The federal health insurance program can be complicated. Here’s how to start, and where to find help.
The Centers for Medicare & Medicaid Services recently delivered good news to seniors on the Medicare Advantage (MA) program, guaranteeing a 2.48% increase for the 2027 MA rate...
At AHIP 2026, healthcare leaders raised concerns about CMS’ new Medicaid eligibility requirements, with one urging the agency to give states more time to implement them. The post H...
Lower user fees, tighter eligibility checks and more state control
CMS has launched the third RMADA contract vehicle with a $3.5 billion ceiling over five years Seventeen companies secured spots after a competition that drew 34 offers The contract...
On May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a press release and a Federal Register notice announcing a nationwide moratorium on the enrollment of...
CMS is recalculating some 2026 Medicare Advantage Star Ratings after a court ruled it improperly calculated Clover Health’s rating, a decision that could boost payments for a small...
CMS’s new GLP-1 Bridge program expands Medicare access to obesity drugs but raises concerns about cost, supply and implementation challenges. The post Does CMS Know What It Is Doin...
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