Add Yahoo as a preferred source to see more of our stories on Google. At the end of January, Medicare users are going to face a major shakeup. Starting February 1, Americans on the government-funded ...

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 ...

Increasing prior authorizations would 'undercut one of the immense benefits of traditional Medicare' Traditional Medicare currently faces fewer prior authorizations than Medicare Advantage, but that ...

GoodRx, a platform for medication savings, outlines 10 things not covered by Medicare—and a few ways to pay for them.

CMS is the single largest payer for healthcare in the United States, with Medicare responsible for approximately 21% of total healthcare expenditure. The $300 rate will apply to claims approved and ...

CMS has announced the agency will offer end-to-end ICD-10 testing this summer. The testing will allow providers and others to submit practice claims to CMS and receive feedback on how the claims were ...