The study used a national Medicaid claims database and excluded Oregon, South Dakota and Arkansas because of reporting ...
President Trump signed into law a two-year extension of telehealth services for older adults covered by the Medicare health ...
The Centers for Medicare & Medicaid Services (CMS) is continuing to pay Medicare Advantage (MA) plans more -- $76 billion more in 2026 -- than if those same patients were enrolled in traditional ...
Officials from the federal government had a big presence at JPM this year and were actively engaging with the healthcare industry. The CMS wants to spur private sector innovation to move the needle on ...
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Insurer mined Medicare patient data for massive profits, report says -- how it costs taxpayers
An extensive review reveals what the nation's largest insurer reportedly did to prioritize revenue.
Almost one-third of physicians who are enrolled in Medicaid don't actually care for a single patient covered by Medicaid ...
As the Centers for Medicare and Medicaid Services (CMS) hits reset on an important value-based care initiative popular with health care providers, ...
CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against ...
The CMS Final Rule signals a future in which prior authorization isn’t just faster but fairer. AI has the potential to accelerate decisions, lower administrative costs and support equitable access to ...
Wisconsin is suing to block federal immigration officials from accessing Medicaid records. The dispute has sparked concerns ...
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