Centers for Medicare and Medicaid Services COO Kim Brandt talked about her agency’s use cases for artificial intelligence in the ongoing battle against fraudulent medical claims.

CMS launches digital health app library for Medicare beneficiaries to improve care with vetted, HIPAA-compliant patient-facing apps.

If you rely on Medicare, a significant change is on the horizon. The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of a pilot program that will bring prior authorization ...

ACOs entering MSSP with higher spending were consistently more likely to earn bonuses—a gap that persisted after a 2017 ...

CMS is launching a pilot program aimed at lowering prescription drug costs in Medicaid by aligning prices with those paid in other developed countries. The program is set to begin in January. “CMS is ...

Indictment Issued for False Statements to CMS and Aggravated Identity Theft It was just a matter of time before the CMS EHR Incentive audit process uncovered alleged actions so severe that there was ...

A recent spate of Office of Inspector General audit reports calls into question some programs from the Centers for Medicare & Medicaid Services. It remains uncertain why the release of these audit ...

The Texas Incentives for Physicians and Professional Services (TIPPS) program is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for ...

Neal Dunn led 2 letters last year urging approval, but Florida remains one of a handful of states still awaiting action.

New York’s mind-boggling $124 billion taxpayer-funded Medicaid program is riddled with fraud and waste, US regulator Dr.

The Directed Payment Program for Behavioral Health Services (DPP-BHS) is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for ...