As the Centers for Medicare and Medicaid Services (CMS) hits reset on an important value-based care initiative popular with health care providers, ...

CMS clarifies grandfathering rules for Medicaid payment caps, expanding eligibility and freezing approved payment amounts through 2028.

A third-party audit assessing Minnesota Medicaid programs at high risk for fraud found the state could safeguard $1 billion ...

If you rely on Medicare, a significant change is on the horizon. The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of a pilot program that will bring prior authorization ...

Ten Medicaid systems vendors have agreed to provide low- or no-cost services to states over the next two years. The Trump ...

The CMS has launched a pilot program that is based on an industry-standard application programming interface that gives providers access to patients’ claims data, according to a July 30 news release.

Florida’s health care system is at an inflection point. Hospitals across the state are doing everything they can to keep ...

The $260 billion budget proposal introduced by Gov. Kathy Hochul (D-NY) in January included a significant increase to Medicaid spending. However, the governor’s election-year budget won’t quiet ...

A multibillion-dollar budget crisis will hit the state’s Medicaid program in the next few years due to federal changes. Here's what to know.