In a pilot program set to begin in 2026, CMS will test new prior authorization requirements for 17 services in six states. Prior authorization (PA) has been a relatively small part of the Traditional ...

The 2026 OPPS proposed rule offers a modest 2.4% payment update, along with some major policy shifts. CMS is pushing for an expansion of site-neutral cuts, tougher price transparency enforcement, and ...

Because hospitals must be in compliance with all CoPs to continue participation in the Medicare program, it is imperative that you know how to respond to a CMS termination letter. The Greeley ...

A new heat map shows the variance in size of the newest accountable care organizations participating in the Medicare Shared Savings Program, specifically how many physicians participate in each ACO.