CMS

The president wants to set minimum staffing levels for the beleaguered nursing home industry. But, given a lack of transparency surrounding industry’s finances, it’s a mystery how facilities will shoulder the costs.

An epic battle is playing out behind the scenes over whether the government should pay for Aduhelm, an FDA-approved Alzheimer’s drug that scientists say has not been proven to work.

State Medicaid agencies for months have been preparing for the end of a federal mandate that has prevented states from removing people from the safety-net program during the pandemic.

The administration is ending several Trump-era policies that restricted enrollment. Federal officials say states can no longer charge premiums to low-income residents enrolled in Medicaid and have ruled out work requirements.

Among the 764 hospitals hit with a 1% reduction in payments for having high numbers of infections and avoidable complications are more than three dozen Medicare ranks among the nation's best.

Medicare billing codes for audio-only follow-up check-ins are leadng to new reimbursement battles.

U.S. District Judge M. Casey Rodgers wrote that the state had not shown “irreparable harm” to justify an injunction or temporary restraining order.

Guidelines released last week by the Centers for Medicare & Medicaid Services allow all visitors, excluding those that have recently tested positive for the coronavirus.

The federal government directed nursing homes to open their doors wide to visitors, easing many remaining pandemic restrictions.

An alternative to original Medicare, the private plans are run mostly by major insurers. A recent analysis estimates Medicare overpaid these insurers by $106 billion from 2010 through 2019.