This year America’s doctors can forget raising a glass of celebratory champagne. Despite the congressional enactment of a 2.5 ...

Difference in spending attributed to "coding intensity" and "favorable selection" ...

To ensure your wellness visit is covered, stick to what is typically included in the visit. Asking questions about your recurrent hip pain or an upset stomach could result in the physician adding ...

For more than a decade, hospitals have worked to help older adults avoid repeated inpatient stays, incentivized by a federal ...

The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for calendar year 2027, which the agency ...

You either laugh at this one, or you cry,” Rep. Kyle Brown said. ” … So maybe it’s $20 million in a given year, and it’s been ...

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...

Access to health care shouldn’t depend on your ZIP code or be the difference between a hospital bill and a funeral bill.

Serenity Cole enjoyed Christmas last month relaxing with her family near her St. Louis home, making crafts and visiting ...

Medicaid is doing a novel payment system for the new, promising and expensive sickle cell treatment. It may become a model ...

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