Keyword: Centers for Medicare & Medicaid Services (CMS)

The guidance could ultimately allow states to shift more consumers toward plans that don't offer comprehensive coverage.

Alternative payment model participation is growing, but there’s more work to be done to drive providers to take on risk, according to a new report. 

CMS is responding to suspicious activity that led to a breach involving 75,000 consumers on the federal marketplace.

Hospitals’ uncompensated care burden is likely to rise, but there are steps they can take to mitigate the risks, according to a new report.

Flexibility can be extremely valuable in crafting health policy—or it can underpin poor policy, with potentially dangerous consequences, experts say.

The OIG said a Medicaid plan could make incentive payments to providers under the existing capitated arrangement.

The challenge now? Keeping that level of preparedness in the midst of competing priorities.

Centers for Medicare & Medicaid Services Administrator Seema Verma said insurers have a "perverse incentive" to shift members to catastrophic coverage.

A new survey shows ACOs could leave the Medicare Shared Savings Program and fewer might enter if proposed changes are finalized.

At AHIP's National Conference on Medicare, speakers explained why Medicare Plan Finder and star ratings don't give seniors the info they need.