The Trump administration has issued a proposed rule that aims to significantly overhaul prior authorization for ...

CMS has proposed extending its prior authorization interoperability framework to cover drugs for the first time, building on its 2024 rule that focused on medical items and services. The proposed rule ...

The Centers for Medicare & Medicaid Services April 10 released a proposed rule that would establish electronic standards for ...

CMS finalizes 2027 Medicare Advantage and Part D rule with changes to star ratings, supplemental benefits, and Part D coverage effective June 1.

The changes are expected to boost star ratings, which will increase insurers’ quality bonus payments. CMS estimates the revisions will increase federal spending by $18.6 billion over the next decade.

Following significant industry outcry over a proposal to keep Medicare Advantage rates largely flat in 2027, the Trump ...

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Advocacy group sees "rollback of consumer protections" that hurts docs terminated from net ...

Regulators locked in a 2.48% rate hike for next year, much higher than the 0.09% that was proposed. Analysts said the Trump ...

The Centers for Medicare & Medicaid Services (CMS) on Friday introduced a set of revisions updating survey procedures to require more consistent ...