Accountable care organizations — which run like Medicare Advantage plans — get financially penalized when they spend too much ...

CMS provided the new updates ahead of the annual Medicare Open Enrollment period, scheduled from October 15, 2025, to ...

WASHINGTON — When Medicare starts negotiating drug prices, it will take into account how important a drug is for patients, Meena Seshamani, the director of the Center for Medicare, said Tuesday. “We ...

"Most Medicare Advantage plans have limited networks, so that's another piece to look at. If a person has a specific doctor that they've been with for ten years, twenty years, or more and want to ...

CMS Principal Deputy Administrator Jonathan Blum will step down next month, according to a Reuters report. CMS Administrator Marilyn Tavenner announced Mr. Blum’s resignation, effective May 16, in an ...

WASHINGTON — A federal rule aiming to make reimbursement for breakthrough devices easier is slated for early summer, a Centers for Medicare and Medicaid Services official said on Thursday. The agency ...

[JURIST] Five hospitals filed a lawsuit [complaint, PDF] against the US Department of Health and Human Services [official website] in the US District Court for the District of Columbia [official ...

Harvard’s David Grabowski and Meena Seshamani of CMS discuss Medicare Advanatge efforts at the NIC Spring Conference Wednesday. Credit: Tori Soper DALLAS — Long-term care providers may not have had ...

Sean R. Tunis, a Maryland physician and high-ranking Medicare official, has agreed to a one-year suspension from practicing medicine and a $20,000 fine for falsifying documents showing he had met his ...