News & Analysis

CMS sets sights on enhancing MA auditing efforts

May 28, 2025
News & Insights

Learn how CMS plans to enhance its risk adjustment data validation auditing efforts for Medicare Advantage (MA) plans and recover overpayments.

This Week in Medicare—5/28/2025

May 28, 2025
Medicare Insider

This week’s Medicare updates include new guidance on hospital price transparency requirements, updated HCPCS code lists for various discarded drug policies, and more!

CMS issues draft guidance on Medicare Drug Price Negotiation Program

May 21, 2025
News & Insights

CMS is seeking feedback on potential policy changes ahead of the third cycle of negotiations under the Medicare Drug Price Negotiation Program.

This Week in Medicare—5/21/2025

May 20, 2025
Medicare Insider

This week’s Medicare updates include draft guidance for the third cycle of the Medicare Drug Price Negotiation Program, the July 2025 HCPCS quarterly update file, and more!

AHA report highlights hospitals' biggest financial pressures

May 14, 2025
News & Insights

U.S. hospitals and health systems are facing a perfect storm of financial pressures, according to a recent American Hospital Association (AHA) report.

This Week in Medicare—5/14/2025

May 14, 2025
Medicare Insider

This week’s Medicare updates include new waived tests under CLIA, skilled nursing facility billing clarifications, and more!

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