In a healthcare system already stretched thin by rising costs, staff burnout, and fragmented post-acute care, the Centers for Medicare & Medicaid Services (CMS) is upping the ante.
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AI has begun to play an important role in aiding physicians in diagnoses — and the Centers for Medicare & Medicaid Services has recognized this progress in recent years by granting ...
Four years before Kimberly Gallagher enrolled in Medicaid herself, the public health insurance program’s rules prompted her to make an excruciating choice — to give up guardianship ...
The marketing of Medicare plans has been called a secretive maze, an opaque system where well-paid agents and brokers are siphoning away money that would be better spent on delivering ...
Bernard J. Wolfson
Republican efforts to restrict taxes on hospitals, health plans, and other providers that states use to help fund their Medicaid programs could strip them of tens of billions ...
Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the ...
Louis Jacobson, PolitiFact
“One out of every $5 or $6 in Medicaid is improper.”
Russell Vought stated on June 1, 2025, in an interview on CNN’s “State of the Union.”
Responding to ...
The Centers for Medicare and Medicaid Services (CMS) Final Rule impacting Star Ratings shows a clear shift in priorities to focus on health outcomes and equity, where success is defined ...
For the first time in a century, the United States is on the brink of a historic demographic shift: According to the latest U.S. Census data, older adults are projected to outnumber ...
Concurrent review is a utilization review process that occurs while a patient is actively receiving treatment, such as during a hospital stay. It evaluates the medical necessity and ...
Texas-based Yes Mediate has selected ADR Notable as its case management platform for out-of-network care reimbursement disputes between health care providers and ...