CMS is increasingly relying on a relatively new regulatory tool to quickly remove clinicians and companies from the Medicare system when they are even loosely affiliated with other organizations being ...

CMS has improved its online enrollment system, formally the Medicare Provider Enrollment, Chain, and Ownership System, to allow providers to see if they need to revalidate their data and digitally ...

CMS on Nov. 21 finalized its Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System rule for 2026, enacting reforms to boost price transparency and expand ...

CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...

As we near the turnover of administrations, Health Affairs Forefront offers a series of articles from leaders at the Centers for Medicare and Medicaid Services providing their thoughts on the major ...

A contract designed to modernize a provider enrollment system was publicly canceled, but has now been quietly removed from the Department of Government Efficiency’s ‘wall of receipts’ website. The ...

On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems ...

On July 10, the Centers for Medicare and Medicaid Services (CMS) released its annual Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed ...

The Trump administration has taken a big step toward curbing Medicare Advantage overpayments, proposing a rule that would stamp out one strategy insurers use to inflate their members’ sicknesses to ...

Avanos (AVNS) Medical announced that the Centers for Medicare and Medicaid Services has issued its final Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical ...