The Trump administration has released new estimates on improper payments in key government insurance programs. | The Trump ...
WASHINGTON - The Centers for Medicare & Medicaid Services (CMS) reports that 22.8 million consumers have signed up for individual market health insurance coverage through the Marketplaces since the ...
On November 25, 2025, CMS released a proposed rule entitled, Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare ...
The Centers for Medicare & Medicaid Services (CMS) this week released new data fueling a narrative of rampant broker fraud on the Affordable Care Act (ACA) exchanges. Plans received data finding 23% ...
As the government shutdown continues, Congress can’t come to terms on spending, including for Medicaid. It’s easy to confuse Medicare with Medicaid, but there are several key differences. Here’s what ...
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How to use form CMS-L564 to avoid Medicare penalties
Learn about the crucial CMS-L564 form, which proves you had employer health coverage and can protect you from costly, ...
Established in 1965, Medicare and Medicaid are two separate, government-run health insurance programs that provide essential health care coverage for specific populations. If you've ever wondered ...
In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...
CMS Launches Mandatory Two-Sided Risk Model for Specialists Treating Heart Failure and Low Back Pain
On October 31, the Centers for Medicare & Medicaid Services (CMS) finalized the Ambulatory Specialty Model (ASM), a mandatory alternative payment model (APM) for select specialists who regularly treat ...
The Centers for Medicare & Medicaid Services (CMS) will temporarily bring all its furloughed employees back to work starting Monday to manage health insurance open enrollment, according to an agency ...
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