CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against insurer fraud.
This year America’s doctors can forget raising a glass of celebratory champagne. Despite the congressional enactment of a 2.5 ...
Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...
The Trump administration’s pay bump is not a cut to the program but rather a “right-sizing” of taxpayer-funded insurance, ...
Month after month, Patricia Hunter and other members of the Nursing Home Reform Coalition logged onto video calls with ...
The PBM measures included in the bill have been championed by Earl L. “Buddy” Carter, a Republican from Georgia and pharmacist, who has long tried to pass legislation to address business practices of ...
Medicare does not cover routine dental care, hearing aids, preventive eye exams, long-term nursing home stays, most care outside the U.S., routine physicals, or maintenance chiropractic care, but ...
SAN FRANCISCO (AP) — Kaiser Permanente affiliates will pay $556 million to settle a lawsuit that alleged the health care giant committed Medicare fraud and pressured doctors to list incorrect ...
Dear Savvy Senior: To avoid any future health care surprises, can you tell me what original Medicare doesn’t cover in 2026? — New Beneficiary Dear New Beneficiary: It a great question. While original ...
The American Medical Association expressed disappointment after the Medicare Payment Advisory Commission voted Jan. 15 to recommend only a modest update to Medicare physician payments for 2027, ...
The Justice Department and whistle-blowers accused the major health insurer of overbilling the government for about $1 billion under the private plans.
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