Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.

The Trump administration launches fraud probe into New York's Medicaid program, citing alleged waste. Gov. Kathy Hochul has ...

Eli Lilly and Company (NYSE:LLY) is one of the best stocks for 20 years. On March 9, Eli Lilly released an updated statement following new implementation details from the Centers for Medicare and ...

CMMI has spent more than a decade learning which organizations consistently deliver high-value care. The next step is to let ...

If you rely on Medicare, a significant change is on the horizon. The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of a pilot program that will bring prior authorization ...

The Centers for Medicare & Medicaid Services announced a seven-prong update to the Civil Money Penalty Reinvestment Program on Monday. The agency has increased the project funding cap by 20% and also ...

Eli Lilly warns some Medicare plans may exceed the $50 monthly cap for weight‑loss drugs under a new CMS model.

The Centers for Medicare and Medicaid Services recently announced negotiated prices for 15 drugs, finalizing the second iteration of the Medicare Drug Price Negotiation Program. The first set of ...

AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of ...

A congressional committee is probing reports of waste, fraud and abuse in Colorado’s Medicaid program, citing recent stories ...

State Medicaid budgets will be reduced by a total of $665 billion over the next decade, after President Donald Trump’s One Big Beautiful Bill Act cuts federal investment in the health insurance ...