The Centers for Medicare & Medicaid Services (“CMS”) recently published its proposed payment rules for general acute care ...

The all-or-nothing nature of the Centers for Medicare and Medicaid Services (CMS) quality audits means nursing homes could ...

Updated policies mean the CMS is projected to pay about 2.48 percent more to Medicare Advantage and Part D insurance plans.

Skilled nursing facilities must navigate upcoming 2026 requirements, including strict quality reporting deadlines, Medicare payment rate updates, documentation changes, and new AI-powered tools.

For hospitals, the message is clear. The proposed 2027 Medicare rule offers more money at the top line, but also more ...

When CMS announced its proposed quality measures for Medicaid home- and community-based services (HCBS) for 2028, I was a ...

In this article, we will provide an overview of how MIPS Value Pathways are structured and scored, summarize results from the first year of reporting in 2023, and discuss early lessons and likely ...

The full 2026 rollout of CMS-HCC V28 is reshaping Medicare Advantage payments, trimming over 2,000 diagnosis codes and lowering average risk scores by more than three percent — a shift that demands ...

Quality Incentive Payment Program (QIPP) Resources ...

Medicare Advantage beneficiaries who depend on the insurance to cover key health care costs received some good news this week: the Centers for Medicare & Medicaid Services (CMS) finalized the 2027 ...