CMS has finalized a 2.6% payment increase for inpatient services, boosted DSH payments, established new interoperability rules for prior authorization, and confirmed the launch of a controversial ...

On April 14, 2026, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule that would require faster ...

The Centers for Medicare & Medicaid Services has introduced a 2026 proposal to expand electronic prior authorization requirements to prescription drugs for Medicare Advantage, Medicaid, CHIP, and ACA ...

Recently, the Centers for Medicare & Medicaid Services (CMS) issued all the fiscal year (FY) 2026 Medicare final regulations for different facility types: hospice facilities, inpatient psychiatric ...

A new proposed rule from the Centers for Medicare and Medicaid Services would reduce the required response time to Medicare ...

Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...

A new CMS final rule increases IPPS payment rates by 2.6% for 2026 and finalizes several key policy changes, including the launch of a mandatory bundled payment model, new e-prescribing standards, and ...

Healthcare and technology groups want Medicare Advantage plans included in the Centers for Medicare and Medicaid Services' proposed rule to expand access to health information and improve the prior ...

Health data company Smile Digital Health and MCG Health are partnering in a move that will help payers meet the requirements of the Centers for Medicare and Medicaid Services Interoperability and ...

CMS has proposed extending its prior authorization interoperability framework to cover drugs for the first time, building on its 2024 rule that focused on medical items and services. The proposed rule ...

The Centers for Medicare & Medicaid Services has proposed extending its electronic prior authorization and interoperability requirements to include prescription drugs, aiming for faster, more ...