CMS expands Medicare Advantage audits to tackle overbilling, recover funds, and boost oversight with advanced tech and ...

Rome Health’s Residential Health Care Facility (RHCF) has earned a 5-star rating for quality measures and an overall 4-star ...

A lawmaker introduced a bill to Congress requiring Medicare Advantage (MA) plans to pay for hospice care, creating potential fallout for home health ...

The Trump administration plans to expand government audits of private Medicare health plans, adding more scrutiny to an ...

During his first administration, President Donald Trump’s top health officials gave North Carolina permission to use Medicaid ...

According to CMS Administrator Dr. Mehmet Oz, the audits will ensure that Medicare Advantage plans are accurately billing the ...

"This is what Republicans do—pay for massive tax breaks for billionaires by going after programs families rely on the most: ...

U.S. Rep. Mary Gay Scanlon (D., Pa) said Wednesday during a marathon congressional hearing that cuts to Medicaid that are ...

Overall, the Republican tax bill, known as the One Big Beautiful Bill Act, would add $2.3 trillion to the deficit over 10 years, according to the CBO.

Medicare pays hospital outpatient departments higher rates than physician-owned practices, leading to higher spending and incentivizing hospitals to acquire physician practices. The Bipartisan Budget ...

By elevating patient perspectives from an afterthought to a core part of the process, payers can create a system that aligns ...

Siding with federal health agencies, a U.S. district judge has rejected arguments by the insurer Florida Blue that key ...