CMS estimated $28.83 billion in improper payments for Medicare fee for service in fiscal 2025. Compared to 2024 reporting, that value is down from $31.7 billion. The agency said improper payment ...

In 2026, the Centers for Medicare and Medicaid Services (CMS) will expand prior authorization in the fee-for-service program through the Wasteful and Inappropriate Service Reduction (WISeR) Model.

The Medicare Payment Advisory Commission estimated Medicare Advantage payments will be 14% greater than fee-for-service Medicare in 2026, according to a March 12 report from the congressional agency.

Medicare Advantage payments are $76 billion above what spending would have been in fee-for-service Medicare in 2026, according to a report by the Medicare Payment Advisory Commission (MedPAC). MedPAC, ...

Fee-for-service payments in 2027 for physicians who treat Medicare patients should be increased by 1.25% for those participating in advanced alternative payment models and 0.75% for other physicians, ...