CMS
publication date
CEO
CMS Overpaid Many Hospitals After Change Healthcare Cyberattack, While Hundreds Missed Out
New analysis shows CMS' payments following the Change Healthcare outage overcompensated most hospitals, underpaid others, and left some without any...
CFO
Leading Through Constraint: How a Pediatric CFO Navigates Medicaid Dependency, Market Volatility, and Strategic Growth
St. Christopher's Hospital for Children CFO Edward Bleacher explains how communication, payer strategy, market vigilance, and disciplined capital management define...
CFO
Infographic: 2026 OPPS Update: What CFOs Need to Know
A 2.6% OPPS increase arrives with new site-neutral cuts and policy shifts that could offset gains.
Innovation
Providers Get Good News on Hospital at Home, Telemedicine Prescription Waivers
A proposed five-year extension of the CMS Acute Hospital Care at Home (AHCaH) waiver has passed the House and is...
Revenue Cycle
CMS Finalizes 2.6% Payment Bump, Confirms Expansion of Site-Neutral Payments in 2026 OPPS Final Rule
CMS has issued a final OPPS rule for 2026, confirming a net 2.6% payment update, plans to expand site-neutral payment...
Innovation
Study: Virtual Care Visits Dropped During the Shutdown
The news comes as CMS reaffirms reimbursement during the shutdown and reverses a much-criticized policy on listing the provider's home...
Payer
Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.
Government documents show CMS does little to enforce long-standing rules intended to ensure about 35 million plan members can see...
Innovation
Infographic: CMS Moves the Needle Forward on RPM Reimbursement
With its final 2026 Medicare Physician Fee Schedule, the agency is making it a little easier for healthcare organizations to...
Innovation
Healthcare Leaders Are Hamstrung by On-Again Off-Again Telehealth Waivers
In ending the federal shutdown, Congress has extended telehealth and Hospital at Home waivers until the end of January 2026....
Innovation
RPM Reimbursement: One Step Forward, Two Steps Back?
CMS is expanding coverage for remote patient monitoring in its 2026 Medicare Physician Fee Schedule, while a major payer is...
Revenue Cycle
Prior Auth Requirements for Traditional Medicare Ignite Debate
While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some...
CMO
Physician Fee Schedule Final Rule Includes One-Time 2.5% Payment Increase
Healthcare groups including the American Medical Association say Medicare's payment policies for clinicians remain broken.