As the hearing proceeded, it was clear that policymakers view the fight against health care fraud not merely as a fiscal ...
We may only be one month into 2026, but the Centers for Medicare & Medicaid Services (CMS) is already planning the prices for ...
Cincinnati Children’s hospital may soon have to face a tough decision: whether to close its Transgender Health Center or risk ...
CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against ...
Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...
The US Senate passed a bipartisan funding bill that included a provision authored by US Sen. Brian Schatz (D-Hawai‘i) that will extend telehealth access for Americans enrolled in Medicare through the ...
CMS clarifies grandfathering rules for Medicaid payment caps, expanding eligibility and freezing approved payment amounts through 2028.
Rising costs coupled by flat rates set by the Trump administration for Medicare Advantage could trigger withdrawals of health insurers from markets across the U.S.