Seshamani is deputy administrator of the Centers for Medicare & Medicaid Services and director of the Center for Medicare. The historic Inflation Reduction Act of 2022 has fundamentally improved the ...

From the time that the Centers for Medicare and Medicaid Services (CMS) first provided public guidance on its intended approach for negotiating the price of the first 10 drugs selected for Medicare’s ...

Medicare Part D is available to Medicare beneficiaries enrolled in Part A or Part B. It works similarly to standard insurance ...

Last year, the CMS Innovation Center launched the Quality Pathway strategic initiative to strengthen the focus on quality in alternative payment models. Since it was created, the CMS Innovation Center ...

The Centers for Medicare & Medicaid Services (CMS) has added several changes to the Medicare price negotiation process expected to occur next year, leading to revised prices for up to 15 ...

A person unsatisfied with Medicare’s decision on a coverage claim may fill out the Medicare redetermination form to request a review of the original claim decision. A person enrolled in Original ...

Medicare is exploding with an American turning 65 every 8 seconds. This means 10,000 baby boomers are entering Medicare every day for the next seven-plus years. Simplifying enrollment and ...

For healthcare practitioners – including those making good-faith compliance efforts – avoiding the attention of RACs, MACs, and other Medicare auditors can be difficult. An unfavorable audit can ...