CMS provided the new updates ahead of the annual Medicare Open Enrollment period, scheduled from October 15, 2025, to ...

In what will create a glimmer of hope for beleaguered Medicare Advantage Organizations (MAOs) who are facing looming waves of Risk Adjustment Data Validation (RADV) audits, on September 25, 2025, a ...

Toni King has authored several books on the subject of Medicare and has appeared regularly as a guest on the American Family Radio Network. This week’s Medicare column consists of “What if” Medicare ...

Accountable care organizations (ACOs) in the Medicare Shared Savings Program saved $2.4 billion in 2024, according to data released last week by the Centers for Medicare and Medicaid Services (CMS).

This week’s Medicare column consists of “What if” Medicare questions from Toni Says readers. 1. What if I did not enroll in Medicare Parts A and B when I should have, because I do not want to pay that ...

You can’t put a price on knowing the correct answer to Medicare quandaries — because with Medicare, what you don’t know will cost you. Here are some responses to “what if” questions recently submitted ...

This week’s Medicare column consists of “What if” Medicare questions from Toni Says readers around the United States. “What if” I did not enroll in Medicare Parts A and B when I should have, because I ...

The Centers for Medicare and Medicaid Services has awarded Noridian Healthcare Solutions a $556.4 million contract to provide specified health insurance benefit administration support services for ...

A representative from the Centers for Medicare & Medicaid Services was scheduled to dial in to a recent meeting of state regulators to hear concerns about Medicare administration. But CMS never joined ...

Please provide your email address to receive an email when new articles are posted on . CMS proposed increasing the conversion factor for qualifying and nonqualifying alternative payment models. The ...

The Centers for Medicare & Medicaid Services has extended the window for nursing homes to file off-cycle Medicare revalidation documents until Jan. 1, 2026. It marks the third postponement and averts ...

CMS has unveiled a proposed rule for the 2026 Medicare Physician Fee Schedule, including a new ambulatory specialty care model aimed at improving chronic disease management and reducing costs. “We are ...