The Centers for Medicare and Medicaid Services (CMS) is set to roll out risk-based surveys on a more broad basis, with final ...
CMS intends to use the $1.2 trillion in provider payment it controls to push whole menu of value-based care programs.
From the institution of the Department of Government Efficiency (DOGE), the second Trump administration made cutting down on “fraud, waste and abuse” its ...
The history of HCBS demonstrates that its growth is not, in fact, evidence of massive undetected fraud, but rather is based on decades of federal policy response to major demographic change, guided by ...
The Centers for Medicare & Medicaid Services (CMS) has pulled information on health equity for the Medicaid and Children’s Health Insurance Program (CHIP) through Section 1115 waivers. Now, CMS is ...
The agency is looking at “testing new approaches and really being able to think outside of the box” to claw back improper ...
Healthcare spending reached nearly $5 trillion in 2023, growing by 7.5% from the prior year, according to new data from the federal government. The Centers for Medicare & Medicaid Services (CMS) ...
The Centers for Medicare & Medicaid Services (CMS) recently published its Proposed 2026 Physician Fee Schedule Rule (Proposed Rule), with extensive implications for drug pricing, Average Sales Price ...
On Nov. 21, 2025, the Centers for Medicare & Medicaid Services (CMS or Agency) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center ...
The Centers for Medicare & Medicaid Services (CMS) is continuing to pay Medicare Advantage (MA) plans more -- $76 billion more in 2026 -- than if those same patients were enrolled in traditional ...
The Centers for Medicare & Medicaid Services (CMS) has released a proposal outlining 2027 payment and policy updates to Medicare Advantage (otherwise known as Medicare Part C), a private‑plan ...
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12 services Medicare Part B covers (and 5 it won’t pay for)
Medicare Part B covers many essential services, but not everything. Learn the 12 services it pays for and the 5 common costs it won't cover to prevent surprises.
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