Assisted living operators that provide Medicaid home- and community-based services to their residents could be front and center in a new federal initiative aimed at clamping down on healthcare fraud.

The Centers for Medicare & Medicaid Services on Monday proposed a 2028 Medicaid Home and Community-Based Services Quality Measure Set that has 23 mandatory measures and three voluntary measures.

Congress has an obligation to direct the Centers for Medicare and Medicaid Services to partner with state Medicaid leaders ...

Explore hospital strategies winning under CMS value-based payment models to succeed with mandatory bundles and accountable care structures.

Healthcare spending reached nearly $5 trillion in 2023, growing by 7.5% from the prior year, according to new data from the federal government. The Centers for Medicare & Medicaid Services (CMS) ...

The Centers for Medicare & Medicaid Services (CMS) recently published its Proposed 2026 Physician Fee Schedule Rule (Proposed Rule), with extensive implications for drug pricing, Average Sales Price ...

On Nov. 21, 2025, the Centers for Medicare & Medicaid Services (CMS or Agency) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center ...

Former Unite Us CEO Dan Brillman has been tapped to lead Medicaid and the Children's Health Insurance Program (CHIP) at the Centers for Medicare and Medicaid Services (CMS), the agency announced ...

This article is the latest in the Health Affairs Forefront featured topic Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

Medicare Part B covers many common services that seniors don't know are covered. Find out which ones to make sure you're ...

Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...

Many Floridians rely on Medicaid to access essential healthcare. Medicaid is a joint federal and state program that provides ...