The Trump administration has issued new draft guidance for the third cycle of Medicare drug price negotiations. The proposals seek to boost transparency in the program and put a focus on ...

Editor's note: This story has been updated with additional commentary. The Centers for Medicare & Medicaid Services (CMS) proposed a rule Monday afternoon to “shut down [a] Medicaid loophole ...

CMS draft guidance includes Medicare Part B drugs in 2026 price negotiations, with new prices set for 2028. Public comment period on CMS proposal is open until June 26, 2025. Ready to turn the ...

CMS is ramping up federal oversight to prevent states from misusing federal Medicaid funds to care for undocumented immigrants. Federal Medicaid funds generally only cover emergency care for ...

The Centers for Medicare and Medicaid Services is rolling out a broad new agenda for its innovation center that could lead to requirements that participants in value-based care programs to take on ...

Cutting Medicaid shifts costs to Medicare, increasing the burden on federal taxpayers. Medicaid covers essential services not covered by Medicare, such as nursing home care and premiums ...

For two years, UnitedHealth Group told investors it was working through a key federal change to how Medicare Advantage insurance companies are paid. Now shareholders are wondering whether the ...

In 2024, CMS classified TBI as a chronic health condition, making people with TBI eligible for Medicare Advantage C-SNPs as of 2025. Traumatic brain injuries (TBIs) result from sudden brain trauma ...

CMS has issued a proposed rule to close what it describes as a Medicaid tax “loophole” that some states have exploited to increase federal payments while minimizing their state financial ...

We are grateful to Arnold Ventures for supporting this work. On May 12, the Centers for Medicare and Medicaid Services (CMS) proposed new limits on how states use provider taxes to finance their ...

Original Medicare (parts A and B) does not include coverage for groceries or long-term food benefits. However, some Medicare Advantage (Part C) plans may offer this benefit. When a person enrolls ...

A Medicare nonparticipating provider is a healthcare professional, facility, or supplier that doesn’t accept Medicare assignment in all cases and may charge more than the Medicare-approved ...