A: Critical Element Pathways are tools used by survey teams to either interview or observe residents for a variety of topics they consider to be critical to the care provided. Pathways were first used ...
CMS's proposed 0.09% Medicare Advantage rate hike for 2027 triggered a sharp sell-off across US health insurers, signaling ...
While providers aren’t required to follow OIG recommendations, a compliance program based on their guidance can spare ...
Key Takeaways - The Declaration. Secretary Kennedy’s declaration concludes that pediatric gender-affirming care does not ...
Inconsistent interpretation of federal regulations at the state level, and surveyor subjectivity are gray areas that will make compliance navigation in ...
The Centers for Medicare and Medicaid Services (CMS) no longer will require states to report childhood and adolescent immunization statuses as it explores “alternative immunization measures.” In a Dec ...
The decision to fund 400 new medical residency positions at hospitals across the U.S. marks a meaningful -- though limited -- step toward addressing a looming physician shortage expected to worsen ...
CMS has been trying to scale value-based care for decades with mixed results — but the agency’s newly announced ACCESS model could represent a more meaningful step toward aligning payment with ...
The Center for Medicare and Medicaid Services (CMS) Innovation Center has launched ACCESS, a model that expands access to technology-supported care for individuals on Original Medicare with obesity, ...
The Trump administration has negotiated lower prices for 15 widely used medications covered by Medicare, with the federal government saying the effort will cut spending on those drugs by 44%, or about ...
The Centers for Medicare and Medicaid Services is proposing enhancements to the Medicare Advantage and Part D Star Ratings program. Beginning in the 2027 measurement year, CMS proposes to remove ...
The Centers for Medicare and Medicaid Services on Tuesday announced lower prices on 15 costly prescription drugs under Medicare, including Ozempic and Wegovy. The price cuts come through the Medicare ...
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