Provider groups are calling on CMS to adopt new rules that hold MA plans more accountable for “egregious” denials while also helping to ensure the future success of the only such plans nursing homes ...

In most recent year with available data, more than 1 in 4 of the U.S. doctors enrolled to see Medicaid patients didn’t see even one, according to new OHSU study. Researcher hopes policymakers take ...

Some parents are in shock after learning their children were mistakenly listed as inactive under a Medicaid program for kids ...

Medicare Advantage (MA) plans and the providers in their networks are crying foul over potentially getting virtually no ...

Strengthening the standards to which Medicaid managed care organizations are held would likely improve access to and delivery ...

The rule puts limits on states levying higher taxes on Medicaid businesses. The CMS argues the tax arrangements allow states ...

Although hospital-owned plans are only a sliver of the Medicare Advantage market, their enrollment continues growing.

Insurance premiums are more costly, and enhanced subsidies that have helped many more people buy coverage have expired.

Ever since Larry Wilkewitz retired more than 20 years ago from a wood products company, he's had a commercial Medicare Advantage plan from the insurer Humana.

A mother who cares for her two sons with autism is one of many concerned about cuts to home and community-based services proposed in Gov. Brad Little’s budget plan.

The state is planning to put new caps on paid care giving hours, cutting care per Medicaid member in half.

Medicaid funding reimbursement is one of the new challenges facing the Belknap County Nursing Home, whose staff is already dealing with continued staff recruitment struggles.