The Medicare Access and CHIP Reauthorization Act, or MACRA, is coming soon, and with it CMS's Quality Payment Program, which requires providers who bill Medicare more than $30,000 a year to report ...

A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...

The 2026 CMS Prior Authorization Final Rule is reshaping healthcare operations by shortening decision timelines, requiring specific denial reasons, and increasing transparency. Providers are turning ...