Centers for Medicare and Medicaid Services COO Kim Brandt talked about her agency’s use cases for artificial intelligence in the ongoing battle against fraudulent medical claims.

For beneficiaries in six states, AI could decide on some Medicare claims for non-emergency health care services.

CMS has improved its online enrollment system, formally the Medicare Provider Enrollment, Chain, and Ownership System, to allow providers to see if they need to revalidate their data and digitally ...

CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...

As we near the turnover of administrations, Health Affairs Forefront offers a series of articles from leaders at the Centers for Medicare and Medicaid Services providing their thoughts on the major ...

In post-acute care, Medicare is not an abstract federal program. It is Mrs. Thompson’s therapy after a hip fracture. It is Mr. Alvarez’s swallow ...

A contract designed to modernize a provider enrollment system was publicly canceled, but has now been quietly removed from the Department of Government Efficiency’s ‘wall of receipts’ website. The ...

CMS published its fiscal year 2026 Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System final rule on July 31. Here are eight things to know: 1. CMS finalizes ...

Avanos (AVNS) Medical announced that the Centers for Medicare and Medicaid Services has issued its final Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical ...