The Physician Payments Sunshine Act, a.k.a., the Open Payments Program, is changing, again. A proposed rule included within the Centers for Medicare and Medicaid Services' (CMS) Interoperability ...

Medicaid managed care provides a structural framework to fight waste and fraud and reduce the cost to taxpayers.

The Centers for Medicare & Medicaid Services proposes sweeping changes to State Directed Payment (SDP) programs, including Medicare-based payment caps, enhanced compliance requirements and limits on ...

More than 35 million Americans rely on Medicare Advantage for their health coverage, and a new federal decision could improve their financial picture. The Centers for Medicare and Medicaid Services ...

“We’re proposing some of the most significant Medicare reforms in recent years to strengthen primary care, expand accountable care, and modernize physician payment,” said CMS Administrator Dr. Mehmet ...

Family physicians have spent years advocating for a payment system built around the realities of primary care. Now, it appears those calls for change are being heard—though there is still work to be ...