Medicare & Medicaid

New payment model looks to improve patient care by reducing unnecessary treatments.

Justice Department charges 324 defendants, including 96 licensed medical professionals, in sweeping nationwide takedown that reveals a surge in transnational, telehealth and opioid schemes.

HHS, CMS leaders announce massive health insurance industry changes to reform prior authorization across health care.

HHS Secretary RFK Jr. announces changes to cut down on improper enrollments.

Out-of-pocket caps protect high spenders, but many others could see their drug costs rise.

Trustees project Medicare hospital insurance trust fund will be depleted in 2033, three years earlier than expected.

Annual report puts depletion three years ahead of projected schedule in 2024 report.

AMGA survey finds member organizations anticipate major changes if Congress, President Trump slash Medicaid.

Senate Finance Committee publishes language that prompts new round of analysis, warnings for physicians, rural hospitals.

The Resident Physician Shortage Reduction Act of 2025 would add 14,000 Medicare-support training slots over seven years and codify rural residency support.

Reimbursement based on Medicare Economics Index will have a cost but ensure beneficiary access, commission says.

Physicians in supported, full-risk VBC models saw more new Traditional Medicare patients and kept panels open longer.

CMS Innovation Center leader outlines strategy for Making America Healthy Again.

Multi-cancer early detection screenings could get coverage, once approved by FDA.

A discussion with Duke University's Mark McClellan, M.D., Ph.D., about why value-based care hasn’t been adopted more quickly

Speculation mounts on potential changes and timing for federal spending plan already approved in House of Representatives.

MedPAC is a key adviser to Congress on Medicare pay for physicians.

Aledade and ACOs press CMS to fix benchmarking error that could slash shared savings

Balancing the ledger and the mission with up-front payment solutions strengthens access and revenue.

Peterson Center on Healthcare analyzes Medicare data to make policy recommendations for remote patient monitoring.

Caroline Pearson, executive director of the Peterson Center on Healthcare, explains a new analysis of use and payment for remote monitoring technologies.

Caroline Pearson, executive director of the Peterson Center on Healthcare, explains a new analysis of use and payment for remote monitoring technologies.

Caroline Pearson, executive director of the Peterson Center on Healthcare, explains a new analysis of use and payment for remote monitoring technologies.

Caroline Pearson, executive director of the Peterson Center on Healthcare, explains a new analysis of use and payment for remote monitoring technologies.

Caroline Pearson, executive director of the Peterson Center on Healthcare, explains a new analysis of use and payment for remote monitoring technologies.