They compensate providers such as doctors and hospitals on quality rather than volume of care, and they engage and assist ...

On April 11, 2025, the Centers for Medicare & Medicaid Services (“CMS”) published its annual proposed rule for the federal fiscal year (“FFY”) 2026 inpatient prospective payment system (“IPPS”) and ...

From CMS developments to device coverage, here are 10 payer updates spine surgeons should know headed into 2026: 1. Some fee-for-service spine procedures in traditional Medicare will have prior ...

Editor's note: This story has been updated with reactions and commentary from hospital industry groups. The Trump administration is floating a 2.4% pay raise for inpatient hospitals' payments for ...

SRA International Inc. has won a 27-month, $5 million contract from the Centers for Medicare and Medicaid Services to modernize the agency's Medicare managed-care payment system, the company announced ...

On Friday, April 11, 2025, CMS issued its annual Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Proposed Rule for Fiscal Year ...

In its 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System rule, CMS made major changes to its reimbursement framework, which is reshaping how ...

A proposed payment rule unveiled Monday by CMS aims to reduce unnecessary spending and boost quality measures, as well as launch a new payment model centered on chronic disease management. "This rule ...

CMS proposed in July to expedite its payment reduction for some 340B items and services until it recoups $7.8 billion. Hospital systems are pushing back. To compensate for underpayments in the 340B ...

The Centers for Medicare and Medicaid Services is increasing Medicare hospital outpatient payment by 2.6% in 2026. This compares to an increase of 2.9% for 2025. Next year’s payment includes a 3.3% ...

CMS published its fiscal year 2026 Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System final rule on July 31. Here are eight things to know: 1. CMS finalizes ...

The Trump administration has finalized the rule that sets government payments to hospital outpatient facilities and ambulatory surgical centers, including a 2.6% rate bump for each. That is an ...