Centers for Medicare and Medicaid Services COO Kim Brandt talked about her agency’s use cases for artificial intelligence in the ongoing battle against fraudulent medical claims.

CMS launches digital health app library for Medicare beneficiaries to improve care with vetted, HIPAA-compliant patient-facing apps.

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 ...

ACOs entering MSSP with higher spending were consistently more likely to earn bonuses—a gap that persisted after a 2017 ...

What did CMS learn its Accountable Health Communities model shows screening social needs reduces costs and utilization for Medicare and ...

Indictment Issued for False Statements to CMS and Aggravated Identity Theft It was just a matter of time before the CMS EHR Incentive audit process uncovered alleged actions so severe that there was ...

The primary goal for CMS must be to ensure that corrective actions are in place so that improper payments can be reduced, says GAO. What are the Centers for Medicare & Medicaid Services (CMS) doing to ...

A recent spate of Office of Inspector General audit reports calls into question some programs from the Centers for Medicare & Medicaid Services. It remains uncertain why the release of these audit ...

New York’s mind-boggling $124 billion taxpayer-funded Medicaid program is riddled with fraud and waste, US regulator Dr.

The Texas Incentives for Physicians and Professional Services (TIPPS) program is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for ...

Neal Dunn led 2 letters last year urging approval, but Florida remains one of a handful of states still awaiting action.