CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against insurer fraud.
Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes.
Jonathan Gruber, an economist at M.I.T. who helped the Obama administration estimate the costs of various policy options, ...
Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...
Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes. But some health policy ...
An extensive review reveals what the nation's largest insurer reportedly did to prioritize revenue.
The background: The coach said he first started noticing something special in Darnold during his sophomore year. However, ...
Big companies lose nearly $90 billion in market capitalization after Medicare proposed a relatively flat rate increase for next year.
The Trump administration’s proposed update to its Medicare payment policies could affect larger Medicare Advantage companies more than smaller firms, health policy watchers say.
The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.
Health insurance stocks fell hard Tuesday morning as investors digested a CMS report proposing a lower-than-expected increase ...
A 2% budget cut would represent a $55 million cut for Idaho's K-12 public school system, and a $19.9 million cut for Medicaid.