The Trump administration has taken a big step toward curbing Medicare Advantage overpayments, proposing a rule that would stamp out one strategy insurers use to inflate their members’ sicknesses to ...
Seniors with Medicare Advantage plans could face benefit cuts and higher costs in 2027 if Trump admin finalizes plans for minuscule payment increase.
CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.
The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...
The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...
The government proposed boosting payments to Medicare Advantage plans by 0.09% in 2027, below what they and their investors expected. What would it mean for enrollees?
Medicare has launched a six-year pilot program that could eventually transform access to health care for some of the millions ...
Catheters physically save my life every single day. But my catheters, and with them my health and safety, are now at risk under a new proposal from the Centers for Medicare and Medicaid Services to ...
The Centers for Medicare & Medicaid Services (CMS) is looking at ways it could incentivize hospitals to purchase supplies and medications made in the U.S.—including via a potential new “Secure | A ...
President Trump signed into law a two-year extension of telehealth services for older adults covered by the Medicare health ...
For decades, hospitals have been nudged, often by price pressures, toward foreign-made products, and the health care industrial complex of distributors and middlemen followed suit. A new approach ...
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