CMS intends to use the $1.2 trillion in provider payment it controls to push whole menu of value-based care programs.

Trump administration officials have approved a Minnesota Department of Human Services plan to address fraud in state programs. It should free up hundreds of millions in Medicaid funding that the ...

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 ...

The Centers for Medicare and Medicaid Services (CMS) is set to roll out risk-based surveys on a more broad basis, with final ...

The Centers for Medicare & Medicaid Services announced a seven-prong update to the Civil Money Penalty Reinvestment Program on Monday. The agency has increased the project funding cap by 20% and also ...

The Trump administration has signed off on Minnesota's plan for rectifying the oversight of its Medicaid-based programs, but the status of $243 million in deferred federal funding is still unclear.

The Centers for Medicare and Medicaid Services recently announced negotiated prices for 15 drugs, finalizing the second iteration of the Medicare Drug Price Negotiation Program. The first set of ...

Minnesota is facing threats that the federal government may pull its funding for Minnesota’s Medicaid program until it cleans up its act amid investigations into multiple alleged fraud schemes ...

The White House said Monday afternoon that it will extend the deadline for drugmakers to apply for a new model that seeks to establish most-favored nation pricing in Medicaid. The Centers for Medicare ...

The Trump administration launches fraud probe into New York's Medicaid program, citing alleged waste. Gov. Kathy Hochul has 30 days to respond.