CMS's Abe Sutton said GENEROUS aims to ensure that Medicaid pricing will be on par with that in other developed nations.

The Trump administration is rolling out a new model that aims to bring most-favored nation pricing to the Medicaid space. | ...

CMS launches pilot to lower Medicaid drug costs by aligning prices with other developed countries, starting January 2026 to reduce state and ...

Under the model, set to start next year, the CMS will negotiate lower prices for Medicaid programs linked to those paid in ...

The Centers for Medicare & Medicaid Services is launching a new initiative for state Medicaid programs to purchase prescription drugs at prices aligned with those paid in other countries, known as ...

The CMS model may be gone, but healthcare leaders are seeing value in other care programs that involve less heavy lifting and offer better reimbursement.

The Final Rule governing the Programs of All-Inclusive Care for the Elderly (PACE) was released by the Centers for Medicare & Medicaid Services (CMS) on April 4, 2024. The Final Rule gives CMS ...

The Centers for Medicare and Medicaid Services has signaled plans to make cuts to the Medicaid program, saying it wants to put an end to "mounting expenditures," such as housekeeping for ...

Charlotte-Mecklenburg Schools’ windfall of more than a half-billion in federal money to help recover from the COVID-19 pandemic is coming to an end. And it’s unclear how the district will sustain ...

CMS has published a list of 202 measures under consideration for use in hospitals and other Medicare public reporting and payment programs. In publishing the list, CMS will be able to gain input on ...

Healthcare leaders are moving away from complex Hospital at Home programs and looking for sustainability in ambulatory care models. A recent survey backs up the claim that they weren’t finding the ROI ...

On February 9, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released two highly-anticipated guidance documents (the “Guidance”) detailing the agency’s proposed implementation of the ...