On November 6, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a new drug payment model designed to make Most Favored Nation (MFN)-level prices available to state Medicaid programs ...

Last year saw a sharp acceleration in new models of value-based care launched by the Centers for Medicare and Medicaid ...

The Trump administration is rolling out a new model that aims to bring most-favored nation pricing to the Medicaid space. The Centers for Medicare & Medicaid Services announced late Thursday the ...

CMS has launched the BALANCE Model, a five-year test to lower costs & expand Medicare access to GLP-1 weight-loss drugs while ...

The Centers for Medicare and Medicaid Services is terminating the Medicare Advantage Value-Based Insurance Design (VBID) model at the end of 2025 due to what it called the model's "substantial and ...

The Centers for Medicare and Medicaid Services is required to implement new billing technology with “predictive modeling” by next year that will better prevent fraud from occurring, according to a ...

Six states will be testing a new model, developed by the Centers for Medicare and Medicaid Services (CMS), for the federal health program Medicare in 2026. At the end of June, CMS announced the new ...

Durable medical equipment (DME) such as CPAP machines and hospital beds helps keep many patients out of expensive nursing home care and in their own homes. Unfortunately, creating the right payment ...