CMS is increasingly relying on a relatively new regulatory tool to quickly remove clinicians and companies from the Medicare system when they are even loosely affiliated with other organizations being ...

The Centers for Medicare & Medicaid Services issued new guidance on Wednesday, March 11, 2026, to strengthen public trust and ensure patients ...

CMS has improved its online enrollment system, formally the Medicare Provider Enrollment, Chain, and Ownership System, to allow providers to see if they need to revalidate their data and digitally ...

CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...

As we near the turnover of administrations, Health Affairs Forefront offers a series of articles from leaders at the Centers for Medicare and Medicaid Services providing their thoughts on the major ...

A contract designed to modernize a provider enrollment system was publicly canceled, but has now been quietly removed from the Department of Government Efficiency’s ‘wall of receipts’ website. The ...

On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems ...

On October 31, Elevance Health filed suit against the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) to challenge the 2025 Star Ratings ...

Medicare Advantage—a popular system of competitive private health plans—can be greatly improved. Congress can do so by expanding benefit options for patients and enhancing the quality of patient care.

What does Medicare factor into their star rating system? I need to find a new Medicare plan during the open enrollment period and want to get it right this time. Medicare Shopper Dear Shopper, If ...