IRMAA is a surcharge that some Medicare enrollees must pay in addition to regular Medicare Part B and Part D premiums. The ...

The MCIT Final Rule represents CMS willingness, for the first time, to automatically cover certain products based on FDA approval—something that may seem obvious to most people, but is revolutionary ...

Over the past decade, hospital-driven acquisition of independent physician practices nationwide has been well-documented. According to one report, the pandemic accelerated this trend, with hospitals ...

The Centers for Medicare & Medicaid Services (“CMS”) recently finalized a Medicare payment rule with significant implications for life ...

CMS issued a final rule Jan. 12 that updates the agency’s definition of “reasonable and necessary” coverage for services that fall under Medicare Parts A and B. The agency said codifying the ...

Medicare typically only provides coverage for varicose vein treatment that a healthcare professional deems medically necessary. Varicose veins are swollen and twisted veins just under the skin, ...

In January 2025, a quiet but consequential Medicare rule change redefined how dialysis patients access a critical class of medications. Seven oral phosphate binders — long used to manage phosphorus ...

CMS' Medicare Diabetes Prevention Program (MDPP) aims to reduce the onset of type 2 diabetes among beneficiaries who are ...