CMS reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.

Medicare Advantage payments are $76 billion above what spending would have been in fee-for-service Medicare in 2026, ...

Service (FFS) estimated improper payment rate was 6.55%, or $28.83 billion, compared to the FY 2024 reported rate of 7.66%, or $31.70 billion, according to a new fact sheet from the Centers ...

Difference in spending attributed to "coding intensity" and "favorable selection" ...

The authors of the study and the editorial note that a primary limitation on these findings is the concentration of Medicare ...

Congress is close to enacting a two-year extension of Medicare telehealth coverage after the U.S. House of Representatives voted to renew virtual care for seniors.

The findings are “very depressing,” one commissioner said. Still, it’s a smaller sum than in 2025, thanks to the continued ...

Fee-for-service Medicare payments per beneficiary receiving care at ASCs rose sharply over the past year, increasing 13.1% from 2023 to 2024, according to MedPAC Medicare carrier claims data published ...

Earlier this week, we released a +Insight called “Healthcare in 2026: A preview” that lays out major legislative and regulatory healthcare ...

A deep dive into the work of one Medicaid contractor is offering stark new insights into how often Medicare Advantage plans deny nursing home coverage, how they time their decisions and why it matters ...

By a News Reporter-Staff News Editor at Insurance Daily News-- Data detailed on Managed Care have been presented. The news correspondents obtained a quote from the research from Augusta University,“ ...

Welcome back to Health Brief. The Senate is out this week, but the House is here. Meanwhile, Congress has come up with a ...