The Centers for Medicare & Medicaid Services is delaying the date by which states must set up grievance systems through which Medicaid beneficiaries can file complaints related to the performance of ...

Centers for Medicare and Medicaid Services COO Kim Brandt talked about her agency’s use cases for artificial intelligence in the ongoing battle against fraudulent medical claims.

CMS blocks durable medical equipment enrollments nationwide with a six-month moratorium to curb suspected fraudulent billing in Medicare programs.

CMS launches digital health app library for Medicare beneficiaries to improve care with vetted, HIPAA-compliant patient-facing apps.

If you rely on Medicare, a significant change is on the horizon. The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of a pilot program that will bring prior authorization ...

ACOs entering MSSP with higher spending were consistently more likely to earn bonuses—a gap that persisted after a 2017 ...

A recent spate of Office of Inspector General audit reports calls into question some programs from the Centers for Medicare & Medicaid Services. It remains uncertain why the release of these audit ...

The Directed Payment Program for Behavioral Health Services (DPP-BHS) is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for ...

More than three dozen states cover dental services for people on Medicaid, but with about $900 billion in cuts expected to ...

Jay Ludlam’s departure comes as North Carolina's Medicaid program faces some of its biggest challenges yet. But he believes ...

New York’s mind-boggling $124 billion taxpayer-funded Medicaid program is riddled with fraud and waste, US regulator Dr.

The Texas Incentives for Physicians and Professional Services (TIPPS) program is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for ...