Cms news and trends

Regulators Warn Against Improper Billing of Medicare Recipients
Legal & Regulation // November 01, 2024

Two federal agencies warned healthcare providers, Medicare Advantage plans and debt collectors not to improperly bill Qualified Medicare Beneficiary recipients (QMBs), who generally cannot be billed for cost-sharing by healthcare providers who accept Medicare. The Consumer Financial Protection Bureau (CFPB) and the Centers for Medicare...

Advance Payments Program Focused on Change Healthcare Cyberattack to End
Healthcare // June 17, 2024

A federal program that addressed Medicare funding issues arising from the February cyberattack on UnitedHealth Group’s Change Healthcare will conclude on July 12. The Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) was launched in March to ease cash flow...

Visa Canada Appoints Sam Fuda to Head Commercial and Money Movement
Personnel // September 12, 2023

Visa Canada has announced the appointment of Sam Fuda as the new vice president, head of commercial and money movement (CMS), Canada. Fuda succeeds Jim Filice in this role, Visa Canada said in a press release emailed to PYMNTS. With this appointment, Fuda will lead the market strategy, product development...

US Agency Taps APIs To Drive Digital Medical Records Transformation
Healthcare // July 02, 2021

The U.S. is launching rules to drive digital transformation through open application programming interfaces (APIs), a move that could fuel new digital medical services and applications, Venture Beat reported on Thursday (July 1). Using APIs, the healthcare community could make medical records available to medical...

Interviews & Exclusives
The White House Startup That’s Taking On Healthcare Payments

November 01, 2019
Though the launch of Healthcare.gov is likely a dim, distant memory for most people, at the time, it was front-page news — and not for a good reason. The site, tasked with enrolling people in the newly passed Affordable Care Act (ACA), was by all accounts poorly designed. That is putting mildly. For those interested […]

Quick Reads
Musk’s DOGE Reportedly Digging Into Medicare Payment System

February 05, 2025
Elon Musk’s Department of Government Efficiency (DOGE) has reportedly gained access to Medicare’s payment system. Representatives from the newly-created department have been working at the Centers for Medicare and Medicaid Services (CMS), getting into the agencies’ payment and contracting systems, the Wall Street Journal (WSJ) reported Wednesday (Feb. 5). Sources told the WSJ DOGE employees have been on […]

Regulators Warn Against Improper Billing of Medicare Recipients

November 01, 2024
Two federal agencies warned healthcare providers, Medicare Advantage plans and debt collectors not to improperly bill Qualified Medicare Beneficiary recipients (QMBs), who generally cannot be billed for cost-sharing by healthcare...

Advance Payments Program Focused on Change Healthcare Cyberattack to End

June 17, 2024
A federal program that addressed Medicare funding issues arising from the February cyberattack on UnitedHealth Group’s Change Healthcare will conclude on July 12. The Accelerated and Advance Payment (AAP) Program...

Visa Canada Appoints Sam Fuda to Head Commercial and Money Movement

September 12, 2023
Visa Canada has announced the appointment of Sam Fuda as the new vice president, head of commercial and money movement (CMS), Canada. Fuda succeeds Jim Filice in this role, Visa Canada said in a press...