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Medicare GLP-1 program 6 weeks out introduces new workflows and volume spikes for health systems and pharmacies starting July 1, 2024.

The Centers for Medicare and Medicaid Services recently announced negotiated prices for 15 drugs, finalizing the second iteration of the Medicare Drug Price Negotiation Program. The first set of ...

The Centers for Medicare & Medicaid Services May 20 released a proposed rule that would modify policies governing Medicaid state-directed payments as authorized under last year’s reconciliation ...

The proposed rule would cap some Medicaid supplemental payments for ambulance providers at Medicare Ambulance Fee Schedule ...

CMS has published a list of 202 measures under consideration for use in hospitals and other Medicare public reporting and payment programs. In publishing the list, CMS will be able to gain input on ...

Leading Republicans are looking toward the Government Accountability Office (GAO) to ensure CMS' new premium stabilization demonstration program is legal and in the best interest of seniors. In a ...

The BALANCE program was intended to cover weight-loss drugs for Medicaid beneficiaries, but is delayed. A new solution with some downsides takes its place.

The Final Rule governing the Programs of All-Inclusive Care for the Elderly (PACE) was released by the Centers for Medicare & Medicaid Services (CMS) on April 4, 2024. The Final Rule gives CMS ...

The Centers for Medicare and Medicaid Services has signaled plans to make cuts to the Medicaid program, saying it wants to put an end to "mounting expenditures," such as housekeeping for ...

Using section 1115 waivers, states can test different approaches to managing their Medicaid programs, in a bid to give states flexibility to improve the safety-net programs. The CMS has previously ...