Centers for Medicare and Medicaid Services
PulseAugur coverage of Centers for Medicare and Medicaid Services — every cluster mentioning Centers for Medicare and Medicaid Services across labs, papers, and developer communities, ranked by signal.
- 2026-06-09 regulatory CMS proposed to repeal the alternative New Technology Add-on Payment (NTAP) pathway tied to FDA Breakthrough Device designation. source
- 2026-05-13 partnership Mehmet Oz announced a coalition of 29 healthcare organizations to simplify prior authorization. source
- 2026-05-13 regulatory CMS launches the ACCESS program, a new payment model designed to incentivize AI-driven healthcare solutions by rewarding health outcomes. source
13 day(s) with sentiment data
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Indiana FSSA pilots AI for Medicaid fraud detection with Oracle software
The Indiana Family and Social Services Administration (FSSA) is launching a pilot program to leverage artificial intelligence for the detection of Medicaid fraud. This initiative will utilize advanced AI software provid…
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Forbes to launch state-specific top hospital rankings in July 2026
Forbes is launching its inaugural "Top Hospitals By State 2026" list in mid-July 2026, building upon its national ratings system. The methodology for this new list is derived from the Centers for Medicare and Medicaid S…
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Developers can integrate AI detection and humanization via API
This article details how developers can integrate AI detection and text humanization features into their applications using an API. It highlights the benefits of using an API over building in-house capabilities, emphasi…
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UPS invests $48M in temperature-controlled facilities for booming GLP-1 drug deliveries
UPS is investing $48 million to expand its network of temperature-controlled facilities, aiming to capitalize on the growing demand for temperature-sensitive medications like GLP-1 injectables. This strategic move into …
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Medicare expands wearable device access for health outcome data
Medicare is launching initiatives to increase access to wearable health devices for beneficiaries, aiming to gather data on health outcomes. A pilot program called ACCESS will reimburse companies for wearables and app u…
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AI Transforms CMS into Intelligent Content Orchestration Platforms
AI is revolutionizing enterprise content management by shifting Content Management Systems (CMS) from passive repositories to active orchestration platforms. These intelligent systems can now suggest content improvement…
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Medicare to offer weight-loss drugs, straining doctor capacity
Starting next month, Medicare will offer weight-loss drugs like Wegovy and Zepbound for a subsidized price of $50 per month. This initiative is expected to lead to a significant surge in demand, potentially overwhelming…
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AI Tools Offer Personalized Guidance for Medicare Decisions
AI tools like ChatGPT, Gemini, and Claude can help individuals personalize their Medicare coverage decisions by applying general information to specific circumstances. The Centers for Medicare & Medicaid Services (CMS) …
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Criminals exploit stolen IDs to defraud hospice, impacting patient care
Sophisticated criminal networks are increasingly targeting the hospice industry, exploiting vulnerabilities in data breaches and stolen Medicare Beneficiary Identifiers (MBIs) to bill for services never rendered. This f…
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AI System Generates Missing Physics Analysis Routines
Researchers have developed AgentRivet, an automated system that uses large language models to generate Rivet routines from physics journal publications. This system aims to address the incomplete coverage of analysis pr…
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Medicare proposes ending expedited payment pathway for breakthrough medical devices
The Centers for Medicare & Medicaid Services (CMS) has proposed to eliminate a streamlined pathway for new medical technologies seeking supplemental Medicare payments. This alternative pathway, established in 2021, allo…
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Medicare TAVR coverage decision to impact millions of seniors
Medicare is expected to announce a decision on Transcatheter Aortic Valve Replacement (TAVR) coverage, which could impact millions of seniors. For 14 years, TAVR access has been restricted under a Coverage with Evidence…
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Government healthcare cost projections struggle with GLP-1 drug spending
Government healthcare cost projections for GLP-1 medications like Ozempic and Mounjaro are proving difficult to accurately forecast. Agencies like CMS and CBO rely on historical data and assumptions that may not account…
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Hospital-at-Home Care Program Faces Security Challenges
The Centers for Medicare & Medicaid Services (CMS) has extended its Acute Hospital Care at Home (AHCAH) program through September 2030, enabling hospitals to provide care in patients' homes. This expansion introduces si…
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Trump administration's drug pricing policy faces scrutiny over limited impact
The Trump administration is implementing Most Favored Nation (MFN) policies to align U.S. prescription drug prices with those in other wealthy nations. These initiatives, including a Medicaid model called GENEROUS and a…
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Weight loss drug coverage uncertain despite insurer formulary listings
Despite Eli Lilly's announcement that its obesity medications will be listed on the formularies of major pharmacy benefit managers, actual coverage remains uncertain. Many health insurers and plan sponsors are reluctant…
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New CSS metric reveals hidden flaws in clinical AI models
Researchers have developed a new metric called the Causal Sensitivity Score (CSS) to evaluate clinical AI systems. This metric tests how well models respond to changes in patient data by introducing five types of clinic…
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Databricks offers AI data platform for CMS TEAM value-based care
Databricks is promoting its data analytics platform as a solution for hospitals facing the new CMS TEAM program. This program requires over 700 hospitals to manage costs and quality for five surgical episode categories.…
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GLP-1 drugs show anti-inflammatory benefits beyond weight loss
GLP-1 medications like Ozempic and Wegovy, known for weight loss, are showing promise in treating inflammation and tissue damage, particularly in osteoarthritis. A study in Cell Metabolism found semaglutide reduced infl…
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Obamacare deductibles surge $1,000 as enhanced tax credits expire
Average deductibles for Affordable Care Act (ACA) health plans have surged by over $1,000 this year, reaching $3,786. This increase is attributed to the expiration of enhanced premium tax credits, which previously made …