The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

The Medicare telehealth flexibilities are set to expire on . Without Congressional action, Medicare coverage for telehealth ...

Split (or shared) visits—the current term used by the Center for Medicare & Medicaid Services (CMS)—allow non-physician practitioners (NPPs) and physicians who work for the same employer/entity to ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

The latest audit from the HHS’ Office of Inspector General comes as some Medicare flexibilities for telehealth are set to expire at the end of this year. Telehealth utilization soared during the early ...

The federal government has begun using artificial intelligence to review whether certain treatments are necessary for ...

Medicare Advantage Special Needs Plans for chronic conditions offer additional healthcare coverage for people with severe or disabling conditions. A Chronic Condition Special Needs Plan (C-SNP) is a ...

The Centers for Medicare & Medicaid Services will host a webinar Feb. 11 at 2 p.m. ET on updated hospital price transparency ...

GoodRx reports Medicare covers essential healthcare but omits services like long-term care, dental, and vision, necessitating financial planning for expenses.

Medicare Part A and Medicare Advantage plans may cover respite care as part of hospice care coverage, potentially covering 95% of eligible costs for up to 5 consecutive days. The respite care must be ...