Medicaid enrollees, unless otherwise exempt, must complete and report at least 80 hours of work or community service each ...

On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that puts forth policy and technical changes to ...

The agency suggested cutting a dozen quality measures where health plan performance is high and beneficiaries can’t easily ...

The Centers for Medicare and Medicaid Services (CMS) have announced changes to the Medicare Advantage (MA) Star Ratings for 2026. These adjustments could significantly impact insurers, affecting their ...

CMS is proposing to remove measures focused on administrative processes or that do not convey variability in quality among plans.

Medicare Advantage insurers scored a Thanksgiving gift, as President Trump’s Medicare agency added back a bonus system that ...

Last week, the Centers for Medicare & Medicaid Services (CMS) released its proposed Contract Year 2027 Policy and Technical Changes to the ...

The latest refresh of skilled nursing facilities’ quality data includes the initial public reporting of new patient transfer and vaccination measures, reflecting future emphasis for the Centers for ...

The following article was written by Ann O’Neill, RN, MBA/HCM, director of clinical operations for Regent Surgical Health.By now, almost everyone in the ASC industry is aware of the new CMS quality ...

CMS will provide up to $30 million of funding and technical assistance to clinicians, patients and other stakeholders to support the development of quality measures over three years, Kate Goodrich, MD ...

As Congress continues to debate next steps on the Affordable Care Act's enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures in place ...

CMS is asking its stakeholders to submit potential measures to include in the Medicare Promoting Interoperability Program. Measure proposals are due June 29 for inclusion in calendar year 2019 ...