If you’re about to turn 65 and know it’s time to start receiving Medicare, don’t assume that it’s just going to come to you automatically. Yes, you can qualify for Medicare eligibility when you’re 65; ...

Surveyed medical groups reveal burdens have increased in the past 12 months, resulting in delays or denials for necessary care. Despite scrutiny of prior authorization practices in Medicare Advantage ...

As the Trump administration expands traditional Medicare coverage in ambulatory surgical centers (ASCs), the industry will face new quality requirements and concerns about costs. The Centers for ...

In a proposed rule issued Monday, the Centers for Medicare and Medicaid Services announced it would relieve the burden on healthcare providers and save them over $1 billion a year by removing Medicare ...

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 ...

A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans' requests for ...

You might think that if you’re 65 or older and need a wheelchair or electric scooter to get around, Medicare would automatically cover it. But, as with so many areas of Medicare, things aren’t quite ...

Mr. Chairman, Mr. Ranking Member, thank you for the opportunity to testify today before the House Committee on Ways and Means, Subcommittee on Health. The Medicare program is on a fiscally ...

One of the biggest areas of confusion about Medicare is whether, and when, it covers home care. Partly, that depends on the distinction between “home care” and “home health care.” But it’s also about ...

Medicare Part A may cover short-term skilled nursing care in a nursing home if specific requirements are met, such as a qualifying hospital stay and the need for daily skilled nursing care. Medicare ...