They compensate providers such as doctors and hospitals on quality rather than volume of care, and they engage and assist family members in the care of their loved ones.

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial intelligence tools.

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as possible on your emergency savings. SoFi Checking is offering up to 4.50% APY and a bonus of up to $300 with direct deposit. (May change without notice.)

The Centers for Medicare & Medicaid Services Dec. 23 introduced a new drug pricing model, BALANCE, for Medicare Part D and Medicaid beneficiaries.

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

The Centers for Medicare & Medicaid Services (CMS) has pulled information on health equity for the Medicaid and Children’s Health Insurance Program (CHIP) through Section 1115 waivers. Now, CMS is declaring it will only consider state waiver applications ...

The Centers for Medicare & Medicaid Services (CMS) is proposing a groundbreaking drug payment model to address the increasingly expensive cost of drugs in Medicare Part B while preserving or enhancing Medicare beneficiaries’ quality of care.