CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against insurer fraud.

State officials say the president’s actions are a new form of retribution, even as the White House has pardoned allies ...

The White House released a healthcare framework as a call to action. It offers few specifics and raises more questions than ...

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 ...

Human Services’ plan to significantly expand on-site validations comes as federal officials threaten to cut off Medicaid funding amid accusations of significant, widespread fraud in programs ...

The state is checking on service providers in push to rebuild trust and prevent the federal government from withholding funds.

President Donald Trump's Centers for Medicare & Medicaid Services administrator made comments about rural health care on ...

Are you feeling the squeeze of increased Medicare costs? If so, you’re not alone. Many people have lowered their healthcare coverage due to cost after the expiring of The Affordable Care Act. That’s ...

The Minnesota Department of Human Services announced they will begin a “massive statewide push to ensure Medicaid providers ...

Cincinnati Children’s hospital may soon have to face a tough decision: whether to close its Transgender Health Center or risk ...

Explore the Sequoia Fund Q4 2025 update on Elevance Health's performance and market outlook. Read the full shareholder letter ...

State health leaders announced Monday they’re launching “Minnesota Revalidate" in an effort to combat ongoing Medicaid fraud ...