A proposed five-year extension of the CMS Acute Hospital Care at Home (AHCaH) waiver has passed the House and is headed to ...

Pharmacies will be the canary in the coal mine for the Medicare Drug Price Negotiation Program, writes Sujith Ramachandran.

CMS late on Friday afternoon released the 2026 Home Health Prospective Payment System Final Rule with final details for the next round of its national competitive bidding program (CBP), ...

Skilled nursing leaders are renewing calls to eliminate the three-day stay rule in light of a policy change that the Centers ...

Purva Rawal, PhD, senior advisor and chief strategy officer, Center for Medicare and Medicaid Innovation, addressed attendees at the Association for Accessible Medicines' Access! annual meeting, held ...

When they are done on an outpatient basis, the very same procedures won’t come with a possible three-day stay needed to trigger coverage of skilled nursing care.

At least 18 states took action on health insurers’ use of prior authorization this year, a sign that lawmakers aren’t content to wait on federal regulators to step in on a key consumer and provider ...

The Centers for Medicare and Medicaid Services wants more evidence about the effectiveness of the medication lecanemab before it will cover the drug for Medicare patients suffering from the early ...

The agency suggested cutting a dozen quality measures where health plan performance is high and beneficiaries can’t easily ...

Discover how new U.S. Medicare drug price cuts impact major pharma stocks like Novo Nordisk and why sector resilience ...