To date, every court that has considered substantive challenges to the Medicare drug price negotiation program has ruled ...

Sanctions are a key tool that states use to hold Medicaid managed care organizations (MCOs) accountable for their use of ...

APCM vs. CCM: what every primary care practice needs to know before switching; rates, rules, revenue impact, and who ...

Earning patient trust is crucial in health care. Accreditation from a recognized body signals a commitment to quality, safety ...

The Centers for Medicare & Medicaid Services is rolling out an initiative that could cover $500 per year worth of hemp-derived THC and CBD products for eligible users. The plan, known as the Substance ...

Information from CMS’s published explanations of the Medicare Drug Price Negotiation Program negotiated prices for 2027 will ...

A complete breakdown of APCM billing codes G0556, G0557, and G0558 - eligibility requirements, reimbursement rates, and ...

Chances are you or someone you know is affected by diabetes. About 40 million Americans, or 12% of the population, have diabetes, according to the American Diabetes Association.

Blaming prior authorization for “eroding trust between payers and providers,” federal officials said Monday they are evaluating how prior approvals might be better targeted to improve healthcare ...

Some of the three million Ohioans on Medicaid may turn down pay raises or promotions for fear of losing access to benefits.

MCG Health, part of the Hearst Health network and the industry's source of truth for trusted clinical guidance, announces Telligen, a population health management company headquartered in Iowa, as a ...

GLP-1 medications, such as Ozempic, Zepbound and Wegovy, have emerged as a significant advancement in the treatment of various conditions, including Type 2 diabetes, heart ...