STAT

Plans to test prior authorization in traditional Medicare are deeply troubling

Berwick is a former administrator of the Centers for Medicare and Medicaid Services. He is a senior fellow for health policy and Ducas is the VP of health policy at the Center for American ...
Fierce Pharma

PhRMA launches new legal challenge as CMS brings 'most favored nation' pricing to Medicare Part B

As the Trump administration advances plans to bring its “most favored nation” drug pricing model to Medicare Part B, the ...

Medicare Advantage premiums expected to drop more than 16% in 2027, CMS projects

Sept 29 (Reuters) - The Centers for Medicare & Medicaid Services estimates the weighted average premium for Medicare ...
JD Supra

CMS Finalizes GLOBE Medicare Rebate Model: Will Impact Only a Few Part B Drugs

On October 2, 2026, the Centers for Medicare & Medicaid Services (“CMS”) finalized the Global Benchmark for Efficient Drug Pricing (“GLOBE”) Model, ...
Nextgov

CMS pitches new contractor operating model for ‘detect and prevent’ fraud strategy

The proposal builds on the Trump administration’s multi-faceted effort to curtail fraud, waste and abuse in federal health ...

Dr. Oz: ‘We’re Experiencing About $100 Billion of Theft a Year’ in Medicare and Medicaid Fraud

For retirees whose monthly budgets already flex around the $202.90 standard Part B premium and a $283 annual Part B deductible in 2026, a number tossed off by the country’s top Medicare official this ...
STAT

New CMS rules will throttle access researchers need to Medicare, Medicaid data

Groundbreaking research more than a decade ago showed that almost one-fifth of people enrolled in Medicare were being readmitted within 30 days after being discharged from the hospital, harming ...
Managed Healthcare Executive

PhRMA sues Trump administration over Medicare Part B drug pricing model

The lawsuit targets the Global Benchmark for Efficient Drug Pricing (GLOBE) Model, a mandatory model CMS finalized last week ...

Her PT Said Medicare Stops Paying When You Stop Improving. A Federal Court Forced CMS to Correct That Myth, and Some Clinics Still Use It

A federal court ordered the government to correct a therapy coverage rule that was never in the Medicare statute, yet some clinics still quote it to patients every week. Knowing what the manual ...