As CMS moves to replace four legacy Medicare claims platforms, it is seeking a vendor to design one platform that would assume all the systems’ responsibilities. In a Jan. 8 request for information, ...
The CMS will crack down on overpayments to Medicare Advantage plans, moving to significantly expand its capacity to audit whether insurers are inflating their enrollees’ illnesses, the agency said ...
On December 1, the Centers for Medicare & Medicaid Services (CMS) announced the Advancing Chronic Care with Effective, Scalable Solutions Model (ACCESS), a 10-year voluntary alternative payment model ...
Major changes are being made to Medicare in 2026 now that Medicare.gov will be using ID.me and CLEAR to verify beneficiaries identity online. This news follows the health insurance program’s extensive ...
In a Los Angeles Times op-ed, a CMS administrator said the Obama administration has used Medicare’s electronic payment system to its advantage in its fight against fraud. Peter Budetti, deputy ...
The Centers for Medicare & Medicaid Services will be collecting new data on nursing homes’ “readiness” to access, share and use electronic data — a precursor for a new pilot that could include skilled ...
Netsmart, an industry-leading provider of healthcare technology solutions and services for community-based care providers, announced its commitment to the Centers for Medicare & Medicaid Services (CMS ...
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