CMS proposed including a 2.6% bump to ASC payments for 2026, as well as other reforms aimed at modernizing payments and expanding healthcare access. Here are five other things to know about CMS’ new ...

CMS has released its Outpatient Prospective Payment System proposed rule for 2026, which would raise Medicare outpatient payment rates next year. Five things to know: 1. Payment update. CMS proposed ...

Last December, CMS announced that the two SCD gene therapy manufacturers -- Vertex Pharmaceuticals and bluebird bio -- agreed to participate in the model.

The Centers for Medicare & Medicaid Services July 15 issued a proposed rule ( that would increase Medicare hospital outpatient prospective payment system rates by a net 2.4% in calendar year 2026 ...

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

Medicare Part B covers one annual lung cancer screening via a low dose CT scan. But you must qualify based on recently expanded criteria. Your lung cancer screening may be covered by Medicare Part ...

Now that the first round of price negotiations is complete, CMS' new guidelines will provide more time for drugmakers to make counteroffers, as selected drugs for round 2 will be announced by Feb ...

For a Medicare Advantage plan to cover massage therapy, the following criteria typically must be met: Medical Necessity: The massage therapy must be prescribed by a doctor to treat a specific ...