Care payment models CMS introduced in 2025 include six new initiatives targeting drug pricing, chronic disease, and specialty care payments.

CMS has launched the BALANCE Model, a five-year test to lower costs & expand Medicare access to GLP-1 weight-loss drugs while ...

CMS is the single largest payer for healthcare in the United States, with Medicare responsible for approximately 21% of total healthcare expenditure. The $300 rate will apply to claims approved and ...

CMS announced the Medicare Advantage Value-Based Insurance Design Model on Tuesday, which aims to reduce the utilization of avoidable high-cost care while improving Medicare beneficiaries’ health.

As of 2024, Medicare Part B covers up to two A1C tests per year for those at high risk of developing type 2 diabetes. Risk factors include a history of high cholesterol, blood pressure, or blood ...