Medicare & Medicaid

Health care groups back new legislation that could expand Medicare chronic care management.

Medicare extends application deadline to May 15 to expand participation for July start.

Rep. Greg Landsman (D-Ohio) explains why he wants to ban the WISeR model, and why AI should be used to fix prior authorization, not make it worse.

MedPAC opens April meeting with deliberations on data that will be part of June report to Congress.

ArentFox Schiff's Pat Naples, J.D., breaks down the legal basis behind CMS's latest antifraud push and what physician practices need to do before investigators come knocking.

The top news stories in medicine today.

The top news stories in medicine today.

Insurance expert discusses trends that could affect patients, and thus a practice’s bottom line.

Health care accounted for 84% of total recoveries.

Physicians, lawmakers, policy advisers wrangle over legislation to adjust physician pay and upgrades to Medicare Advantage.

Health care attorney Pat Naples, J.D., breaks down the legal mechanics behind CMS's latest antifraud actions and what physicians should be doing before enforcement comes to them.

Medicare has a laudable goal to bargain for lower prices, but there’s a chance patients could lose out on billions in savings.

Understanding Medicare's strict physical presence requirements can save your practice from costly compliance violations

With the premium payment grace period ending in March 2026, a new survey finds most returning enrollees are already struggling to afford coverage.

Sightview Software's Holly Black, often called a "MIPS Geek Guru," breaks down what's changed in MIPS for 2026 and what practices can still do right now to protect their Medicare revenue.

The 10 biggest cases of health care fraud charged, settled or sentenced in the first 10 weeks of the year.

MIPS expert Holly Black explains the 2026 rule changes, the rise of MVPs and the practical steps small practices can take now to avoid Medicare penalties.

The agency is also opening a public comment period on what could become its most significant anti-fraud rulemaking in years, and it wants to hear from physicians.

Vaccines, autism are part of Senate questioning as Casey Means, M.D., says she supports physicians and patients making decisions rather than depending on surgeon general pronouncements.

Could 2026 be a breakthrough year to even out Medicare payment to hospitals and physician practices?

Trump spotlights drug-price transparency and Most Favored Nation pricing —signaling changes to Obamacare subsidies and hospital insurer rules.

One in 6 Medicare beneficiaries used virtual visits for essential care from 2021-2023.

A professor of health policy analyzes CMS’ physician payment policy for 2026.

CMS has awarded first round of money for state health care programs in $50B federal plan.

Medicare turns physicians into more productive data clerks, then pays them less. It’s a policy detached from reality.