Medicare fee-for-service providers, clearinghouses and billing agencies built on earlier successes during the final end-to-end testing week in July, according to the Centers for Medicare & Medicaid ...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden. Traditional Medicare will add prior ...

CMS and Acumen are field testing a new screening/surveillance colonoscopy cost-saving Merit-based Incentive Payment System measure. 1. The American Gastroenterological Association, American College of ...

On December 19, 2025, the Centers for Medicare & Medicaid Services (“CMS”) proposed two mandatory Center for Medicare and Medicaid Innovation (“CMMI”) drug payment models to test whether alternative ...

Heart Test Laboratories (HSCS) announced that the Centers for Medicare & Medicaid Services, CMS, has included AI-ECG technology in the 2025 Hospital Outpatient Prospective Payment System, OPPS, final ...

President Trump’s new administration has the opportunity to address a critical but little-known aspect of our country’s health care system: Medicare Administrative Contractors, which are restricting ...