Through the Wasteful and Inappropriate Service Reduction (WISeR) Model, CMS will partner with companies specializing in enhanced technologies to test ways to provide an improved and expedited prior authorization process relative to Original Medicare’s existing processes, helping patients and providers avoid unnecessary or inappropriate care and safeguarding federal taxpayer dollars.
CMS is expanding access to vital care for American Indian and Alaska Native communities by approving Medicaid State Plan Amendments in several states. Indian Health Service and Tribal clinics in Minnesota, New Mexico, Oregon, South Dakota, Washington, and Wyoming are now authorized to provide Medicaid clinic services beyond the physical clinic site, including in homes, schools, and other appropriate community locations.
The Centers for Medicare & Medicaid Services announced that agreements have been signed with manufacturers of the 15 drugs covered under Medicare Part D selected for the second cycle of the Medicare Drug Price Negotiation Program.
HHS announces 15 additional drugs selected for Medicare Drug Price Negotiations in continued effort to lower prescription drug costs for seniors. Building on the success of the first round of negotiations, the aim is to lower prices for some more of the costliest prescription drugs.
CMS is accepting new applications for the Rural Community Hospital Demonstration. The RFA opened December 20, and hospitals interested must apply by 11:59 p.m. Eastern Standard Time on March 1, 2025.
HHS introduces new requirements for maternal safety standards, eliminates barriers to care for underserved communities.
The Centers for Medicare & Medicaid Services announced that the Medicare Shared Savings Program continues to save Medicare money while supporting high-quality care. The Shared Savings Program yielded more than $2.1 billion in net savings in 2023 — the largest savings in the Shared Savings Program’s history.
Facing a fifth consecutive year of Medicare payment reductions, the American Medical Association issued a clarion call to the Centers for Medicare & Medicaid Services, urging the agency to be fully transparent about the impact of these payment cuts on physicians and patients.
This measure, developed by ACEP in partnership with the American College of Surgeons and the Institute for Healthcare Improvement, clarifies goals for those who work with older patients and incorporates important aspects of the ACEP Geriatric Emergency Department Accreditation framework into care delivery.
The HHS through the Centers for Medicare & Medicaid Services, proposed new policies in the calendar year 2025 Medicare Physician Fee Schedule proposed rule to advance health equity and support whole-person care.
The Centers for Medicare & Medicaid Services’ Office of the Actuary has released projections of National Health Expenditures (NHE) and health insurance enrollment for the years 2023-2032.
May is Mental Health Awareness Month, and the Centers for Medicare & Medicaid Services is excited to share that it has updated its Mental Health and Substance Use Disorders content on www.medicare.gov.
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