In 2026, there are fewer prescription drug plans in Medicare Part D and higher premiums, even when offset by a ...

In late 2024, the Centers for Medicare and Medicaid Services previewed a significant revision to the risk-adjustment model ...

Per-enrollee spending on drugs in Part D has varied over time, reflecting shifts in drug introductions and growth in particular therapeutic classes. From the inception of Part D in 2006 to 2023, ...

Increase in Medicare revenue for practices adopting RPM mainly due to direct billing for RPM and more outpatient visits.

Nowhere has enhanced government subsidies to buy health care through Obamacare increased the number of insured quite like the ...

Pinnacle Multicare Nursing and Rehabilitation Center received overpayments exceeding $31.2 million, as a result of noncompliance with Medicare ...

In late August 2025, CMS released Performance Year (PY) 2024 data for the Medicare Shared Savings Program (MSSP). This marked ...

The 9.7% increase in the cost of Medicare Part B premiums for 2026 is due to several factors, including projected growth in ...

The phenomenon of falling birth rates is due to factors far beyond the mere cost of living, and state-funded benefits for ...

Among more than 7.8 million CRC screenings, the share of patients aged 45 to 49 years jumped from 2.9% before the guideline changes to 17.8% afterward. The average monthly screenings for this younger ...

Effective January 1, 2026, Hospital Outpatient Department (HOPD) reimbursement for CPT 64568 will increase to approximately ...

From a revenue cycle perspective, 2025 threw us some curve balls. For the first time in six years, the Centers for Medicare and Medicaid Services proposed an increase to the Physician Fee Schedule. At ...