The Trump administration is rolling out a new model that aims to bring most-favored nation pricing to the Medicaid space. | The Trump administration is rolling out a new model that aims to bring most-favored nation pricing to the Medicaid space.

On Oct. 31, CMS issued its final policy changes for Medicare payments under the Physician Fee Schedule, alongside other shifts in Medicare policy. The update comes after suspicion from ASC leaders that the update may be delayed amid the ongoing federal shutdown,

Medicare has selected the technology vendors who'll run its prior authorization pilot in New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington

The Centers for Medicare & Medicaid Services (CMS) late last week announced the creation of the GENErating cost Reductions for US (GENEROUS) Medicaid Model, which will utilize most-favored nation pricing to negotiate lower drug prices for Medicaid with participating drug manufacturers.

The Centers for Medicare & Medicaid Services is launching a new initiative for state Medicaid programs to purchase prescription drugs at prices aligned with those paid in other countries, known as most-favored-nation pricing.

Democratic lawmakers have written a letter to the Centers for Medicare and Medicaid Services, criticizing the Trump administration for rushing the launch of Medicare's new provider directory tool.Oregon Sens.

On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the physician fee schedule (PFS) final rule for calendar year (CY)

Key Takeaways CMS has paused most certification and survey activities during the government shutdown. Key functions like processing initial certification and change of ownership (CHOW) applications, conducting initial,

Leading Democrats are pressing the Trump administration over the launch of Medicare's new provider directory tool. | Leading Democrats are pressing the Trump administration over the launch of Medicare's new provider directory tool.

President Donald Trump warned that, without Democrats’ approval for funding, Social Security and Medicare could be eliminated. If that happens, millions of Americans could lose their retirement benefits and health coverage.