CMS

The Centers for Medicare & Medicaid Services are cracking down on deceitful marketing strategies during open enrollment. Here are tips on how to avoid getting scammed.

Enrollees in the federal program for older people and people with certain disabilities can make changes to their health and drug plans. The decision can be complicated, but here are some points to keep in mind.

Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and predicts what kind of care an individual will need. New rules will ensure humans are part of the process.

Two dozen states, from Florida to Washington, have passed laws that allow hospital systems to merge into monopolies, disregarding FTC warnings that such mergers can become difficult to control and may decrease quality of care.

The computer issues affected people in 29 states and the District of Columbia and likely included a significant number of children who should have been eligible even if their parents or caregivers were not.

For the first time, Medicare will negotiate the prices of 10 common medicines. Dr. Meena Seshamani, with the Center for Medicare at CMS, and Brian Brito, VP of pharmacy at CareMax, talk about the process.

Research commissioned by the Centers for Medicare & Medicaid Services analyzed only staffing levels below what experts have previously called ideal. Patient advocates have been pushing for more staff to improve care.

The Centers for Medicare & Medicaid Services backed off from a plan that could have curtailed access to a type of surgery known as DIEP flap. Breast cancer patient advocates are relieved.

The three plaintiffs are asking for an end to the current notification process and for coverage to be reinstated. A DCF spokesperson says CMS approved Florida's "unwinding" plan.

Nearly one-third of the states have received warnings from federal officials that their lengthy call center wait times may be causing people to hang up — and give up — as they attempt to renew coverage.