Changes will go into effect Jan. 1, 2027, and aim to improve care delivery and data for maternal health outcomes.

CMS has spent the past three years systematically expanding colorectal cancer screening coverage — adding new modalities, eliminating patient cost-sharing and lowering the eligible age. For ...

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

GEICO filed two No-Fault fraud suits the same day, seeking to recover millions it says it paid on medically unnecessary ...

Of the roughly 1 million disputes taken through the law's arbitration process in Q2 2025, around 129,000 were for lab codes, with payments for basic tests averaging hundreds of dollars.