Hospice fraud explodes in Los Angeles with providers allegedly scamming $3.5 billion from Medicare through ghost patients and ...

Shares of large Medicare plan providers Humana, CVS Health and UnitedHealth Group plunged in extended trading.

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

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 ...

Author Table of Contents Media Contact For general and media inquiries and to book our experts, please contact: ...

If these numbers worry you, it’s important to know what those expenses are so you can take steps to get ready and have the ...

The Minnesota Department of Human Services on Monday announced a new push to scrutinize providers in state-run Medicaid programs at high risk for fraud, including a significant expansion of ...

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

The Centers for Medicare & Medicaid Services (CMS) has notified Medicare Advantage organizations of a new system for managing and tracking provider complaints.

Discover how telehealth leverages technology to provide healthcare from a distance. Learn about its history, benefits, ...

The new KFF report found that payers either fully or partially denied 4.1 million prior authorization requests in 2024, or ...

With appreciation for feedback from Mark Fendrick, Director of the Value-Based Insurance Design (V-BID) Center at the ...