For decades, one of traditional Medicare’s most valued features has been its relative freedom from prior-authorization ...

Medicare is imposing strict new restrictions that advocates are worried could affect retirees.

Split (or shared) visits—the current term used by the Center for Medicare & Medicaid Services (CMS)—allow non-physician practitioners (NPPs) and physicians who work for the same employer/entity to ...

The US Centers for Medicare & Medicaid Services (CMS) finalized important changes to the Medicare provider and supplier enrollment regulations, including adding marriage and family therapists (MFTs) ...

With updates to the FEHB program and new requirements for certain retirees, it’s more important than ever to understand how FEHB and Medicare work together.

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management. CMS has sparked ...

Medicare Advantage Special Needs Plans for chronic conditions offer additional healthcare coverage for people with severe or disabling conditions. A Chronic Condition Special Needs Plan (C-SNP) is a ...

The latest audit from the HHS’ Office of Inspector General comes as some Medicare flexibilities for telehealth are set to expire at the end of this year. Telehealth utilization soared during the early ...

A guide to Medicare coverage for breast cancer diagnosis and treatment, including cost differences between Original Medicare ...

GoodRx, a platform for medication savings, outlines 10 things not covered by Medicare—and a few ways to pay for them.