"This conduct violates multiple statutory and regulatory requirements, including the obligation to submit accurate risk adjustment data through the required electronic systems, report and return ...

CMS offer 100M lifestyle funding to support 30 pilot programs testing chronic disease prevention in Medicare starting October ...

Centers for Medicare & Medicaid Services (CMS) deferred $259.5 million in federal Medicaid funds to Minnesota over program integrity concerns. CMS will impose a six-month nationwide moratorium on new ...

The Centers for Medicare & Medicaid Services March 11 issued guidance to state survey agency directors clarifying and reinforcing the roles and responsibilities of organ procurement organizations and ...

Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.

The agency plans to introduce AI agents to help Medicare beneficiaries find doctors and health plans, a challenge given many enrollees don’t yet trust the tools, CMS Administrator Dr. Mehmet Oz said ...

CMS envisions agentic AI empowering every Medicare beneficiary with tools for reminders, communication, and diabetic support within a year.

Mission Hospital's 'immediate jeopardy' status is removed, but CMS set a July 26 deadline for full compliance. If not met, ...

The Centers for Medicare and Medicaid Services (CMS) will suspend Elevance Health’s ability to enroll people in its Medicare Advantage plans if the insurer doesn’t comply with risk ...

Procurement organizations, hospitals say guidance reinforces principles they already abide ...