The Trump administration is shaking up how health systems are paid for outpatient care with a plan that could reduce Medicare ...

Hospitals lambasted the final rule as inadequate, arguing the sector is facing significant financial pressures.

Lower-income seniors brace for the pressure of rising Medicare costs. About one in 10 Medicare beneficiaries enrolled in Part ...

CMS on Nov. 21 finalized its Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System rule for 2026, enacting reforms to boost price transparency and expand ...

Forbes contributors publish independent expert analyses and insights. Sally Pipes is a scholar and think tank CEO who writes on health care. "By 2030, site-neutrality could eliminate up to $672 ...

Adopting site neutral payment policies for Medicare would yield savings for the program, for private insurance premiums and for enrollees' out-of-pocket costs, which would total about $471 billion ...

QMedic reports a $2,000 Medicare drug cost cap starting in 2026, ensuring predictable spending and potentially avoiding ...

Some leaders have become increasingly frustrated with hospital outpatient department reimbursements far outpacing ASCs, but there are efforts at the federal level to move toward site-neutral payments.

Medicare open enrollment is underway from Oct.15 through Dec. 7, 2025, for the millions of people who qualify.

CLEVELAND — Legal analysis: The official Medicare website is confusing beneficiaries who were worried about losing telehealth access on April 1. Legally Speaking, they're getting a reprieve from a ...

Medicare will cover GLP-1 weight loss drugs for specific patient groups, beginning in mid-2026, under a deal struck with drugmakers.