The Centers for Medicare & Medicaid Services Feb. 2 revised its approach to determining grandfathering eligibility by ...

To avoid any future health care surprises, can you tell me what original Medicare doesn’t cover in 2026? — New Beneficiary ...

CMS proposes nearly flat Medicare Advantage payments for 2027, with a 0.09% increase and updated risk adjustment policies.

On Jan. 1, CMS launched the latest value-based care model known as the Transforming Episode Accountability Model, or the TEAM ...

The Trump administration plans to increase payments to next year’s Medicare Advantage plans by less than 0.1% on average — ...

CMS clarifies grandfathering rules for Medicaid payment caps, expanding eligibility and freezing approved payment amounts through 2028.

The Centers for Medicare & Medicaid Services (CMS) released its annual physician pay rule for 2026 on Friday night, which increases physician reimbursement by 3.77% for qualifying providers in ...

Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes. But some health policy experts ...

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...

Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...

Florida’s health care system is at an inflection point. Hospitals across the state are doing everything they can to keep ...

"To avoid any future health care surprises, can you tell me what original Medicare doesn’t cover in 2026?" ...