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 ...

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

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 ...

CMS COO Kim Brandt said the agency saved $2 billion using artificial intelligence to combat fraud and prevent contract duplication.

CMS is launching a pilot program aimed at lowering prescription drug costs in Medicaid by aligning prices with those paid in other developed countries. The program is set to begin in January. “CMS is ...

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 ...

Models that provide hybrid payments to primary care practices without adding financial risk are effective at supporting the ...

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

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 ...

Neal Dunn led 2 letters last year urging approval, but Florida remains one of a handful of states still awaiting action.

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 ...

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