The 2026 Medicare Physician Fee Schedule delivers a 2.5% conversion factor increase for most providers, effective January 1, ...

Section 6225 of the Consolidated Appropriations Act of 2026 (CAA 2026), enacted on February 3, 2026, fundamentally changes Medicare's treatment of hospital off-campus provider-based departments.

In 2018, Medicare established coverage and reimbursement for its first service using artificial intelligence (AI): computed tomography (CT) fractional flow reserve (FFRCT). FFRCT is used in ...

CMS isn’t just tweaking ASC policies in 2026; it’s remolding the financial and regulatory foundation of outpatient surgery. From a major expansion of procedures allowed in the setting to the phaseout ...

The Medicare ACCESS model will reach 165 million more Americans in other payer markets by 2028, according to an announcement by the Centers for Medicare & Medicaid Services (CMS) Thur | The move will ...

Medicare’s spinal-deformity-specific diagnosis-related group distribution has some limitations when it comes to understanding the nuances of surgeries, according to a study in the March 1 edition of ...

Matt Rosenberg negotiated a $163,000 discount on a hospital bill using Claude for help — and says AI is giving patients more power.

The Trump administration on Tuesday announced the 15 drugs selected to participate in the newest round of the Medicare Drug Price Negotiation Program, including the high-cost medications Botox and ...

The federal government announced the next 15 medicines for which it will seek price reductions with the help of Medicare’s new negotiating power, including the breast cancer drugs Kisqali and Verzenio ...

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