A new Medicare pilot program will require prior authorization for certain medical procedures, using AI to approve or deny coverage A new program from the Centers for Medicare and Medicaid Services ...

Eli Lilly and Company (NYSE:LLY) is one of the best stocks for 20 years. On March 9, Eli Lilly released an updated statement following new implementation details from the Centers for Medicare and ...

Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.

CMMI has spent more than a decade learning which organizations consistently deliver high-value care. The next step is to let ...

AARP aims to preserve and strengthen Medicare and Medicaid. Sources include C-SPAN, Social Security Administration, Harvard School of Public Health and AARP.

Eli Lilly warns some Medicare plans may exceed the $50 monthly cap for weight‑loss drugs under a new CMS model.

Leading Republicans are looking toward the Government Accountability Office (GAO) to ensure CMS' new premium stabilization demonstration program is legal and in the best interest of seniors. In a ...

The Centers for Medicare & Medicaid Services (CMS) announced Wednesday operational details for the next stage in its competitive bidding program despite ongoing opposition from patient advocacy groups ...

As discussed in last week’s Regs & Eggs blog post, the US Department of Health and Human Services (HHS) recently released additional budget documents to support the department’s fiscal year (FY) 2026 ...

CMS is expanding Medicare’s Recovery Audit Contractor program to Medicare Advantage, as required by the ACA. The program was originally implemented for Medicare Parts A and B in January 2010. CMS ...

Seniors across the nation are facing significantly higher monthly premiums due to systemic billing inaccuracies and alleged ...

The Trump administration launches fraud probe into New York's Medicaid program, citing alleged waste. Gov. Kathy Hochul has ...