The Latest Breaking News from CMS

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional fee-for-service Medicare services in six states starting this year. Here are the particulars.

The most dangerous person in the hospital is not a sick patient—it is the administrative auditor. While you are recovering in a hospital bed, a...

Mehmet Oz was shocked to find that a building in St. Paul, Minnesota, housed hundreds of Medicaid-billing businesses linked to $380 million in claims.

If it feels like hospital stays are getting shorter, you are not imagining it. In 2026, the average time a patient is allowed to recover...

If you walked into a pharmacy this January expecting to see the “lower prices” promised by the Inflation Reduction Act, you might have left confused—or...

In the digital ecosystem of 2026, your access to healthcare depends entirely on the accuracy of the data stored in federal servers. While most seniors...

For decades, choosing a nursing home meant hoping there were enough nurses to answer the call button at 3:00 AM. In 2024, the federal government...

Leaving the hospital is supposed to be the start of recovery, but in 2026, it is also the start of a high-stakes “Coverage Clock.” Whether...

In 2026, the battle for healthcare coverage is no longer just about “covered” versus “not covered.” It is about the specific definitions buried in the...