AHEAD, which builds on existing all-payer models in certain states, gives participating states up to $12 million to implement the model. In return, states agree to be accountable for cost growth ...

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 ...

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) has unveiled a new initiative aimed at improving prior authorization processes for Original Medicare beneficiaries. Announced last ...

CMS on Sept. 2 unveiled policy and operational updates to the Achieving Healthcare Efficiency through Accountable Design Model, a state total cost of care initiative launched in 2023 to curb spending, ...