Medicare overpaid for optometry services to nursing homes, the Office of Inspector General’s (OIG) audit report released Thursday found. In OIG's sample, ...

Molina Healthcare may rebound after 2025, with profitability driven by sector premium hikes. See here for MOH's potential ...

Medicare overpaid just 15 optometrists serving nursing home residents an estimated $3 million over three years for low-level ...

Endocrinologist Athena Philis-Tsimikas, MD, corporate vice president of the Scripps Whittier Diabetes Institute in San Diego, ...

Hospitals nationwide confront the Medicare Advantage question hospitals face on participation amid rising denials and reimbursement challenges.

ASCs are entering 2026 in a tough spot: pay updates are landing, but many leaders say they’re still being squeezed by inflation, payer tactics and rising procedure complexity. Five dynamics, in ...

A Senate health committee has sent the AMA another letter demanding details on how it maintains and licenses the CPT code set, building on a probe launched in October.

Discover why UnitedHealth Group (UNH) is rated Buy, with margin recovery, earnings growth, and 154% upside potential.

A new KFF analysis reveals that retrospective chart reviews are a primary driver of risk-adjusted payments for Medicare ...

After securing Medicare reimbursement for its pacemaker-like heart failure (HF) implant, Impulse Dynamics has raised more ...

Next year is bringing many changes to the regulatory landscape for skilled nursing. With new payment rules, coding changes ...

Sen. Bill Cassidy (R-LA), chairman of the Senate health committee, sent the American Medical Association a list of questions ...