HHS Secretary Kennedy, CMS Administrator Oz Secure Industry Pledge to Fix Broken Prior Authorization System | CMS Medicare Advantage, Medicaid Managed Care, Health Insurance Marketplace® and commercial insurance plans now cover covering nearly 80% of Americans. These...
Today the Department of Justice (DOJ) held a press conference led by Dr. Mehmet Oz, the Administrator of the Centers for Medicare and Medicaid (CMS) and officials from the DOJ, announcing the results of its 2025 National Health Care Fraud Takedown. The takedown...
There’s a new article in Health Affairs about “site neutral” payments that could change everything for hospital-based outpatient departments – and by that, I mean, possibly end them. However, I have been wrong about this threat for more than a decade – which means...
Preview your performance before it is public The “Doctors and Clinicians Preview Period” is officially open as of Tuesday, May 27, 2025. Clinicians who reported data as part of the Quality Payment Program (QPP) in 2023 can preview their 2023 performance information...
Last week, the Head of the Justice Department’s Criminal Division, Matthew R. Galeotti, delivered remarks at an Anti-Money Laundering and Financial Crimes Conference, announcing that the DOJ’s Criminal Division was “turning a new page on white-collar and corporate...
