Original Medicare primarily operates on a fee-for-service (FFS) system, billing for each service provided. Some Medicare Advantage (Part C) plans also use this payment model via private FFS plans.

UnitedHealth Group’s confirmation of a federal probe into its Medicare business comes as Washington lawmakers call for reforms to the sprawling Advantage program, which covers most of the program’s ...

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

A new study confirms what the American Medical Association and other medical groups have long been saying about physician pay: Medicare reimbursement is not keeping up with inflation. In original ...

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

Primary care physicians are often called the quarterbacks of healthcare because they coordinate and direct patients’ journeys through the medical system. On a typical NFL team, the quarterback is the ...

The American health care system has two distinguishing characteristics. First, similarly situated individuals pay the same premium, regardless of their medical conditions. Put differently, no one who ...

Jeanine Skowronski is an editor, writer, and journalist with more than 15 years of experience in personal finance and business, including roles at Bankrate, CreditCards.com, and Policygenius. Her work ...

Republicans in Congress are on the hunt for budgetary savings to ease passage of reconciliation legislation that would extend and enhance the 2017 Tax Cuts and Jobs Act. Unsurprisingly, there is no ...