An extensive review reveals what the nation's largest insurer reportedly did to prioritize revenue.

Seniors with Medicare Advantage plans could face benefit cuts and higher costs in 2027 if Trump admin finalizes plans for ...

Hospitals weigh patient warnings as CMS shares Medicaid data with ICE, affecting immigrant care and Emergency Medicaid enrollment policies.

On Jan. 1, CMS launched the latest value-based care model known as the Transforming Episode Accountability Model, or the TEAM ...

The Centers for Medicare & Medicaid Services (CMS) is continuing to pay Medicare Advantage (MA) plans more -- $76 billion more in 2026 -- than if those same patients were enrolled in traditional ...

The Trump administration’s move to give deportation officials access to Medicaid data is putting hospitals and states in a bind as they weigh whether to alert immigrant patients that their personal ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

As the Centers for Medicare and Medicaid Services (CMS) hits reset on an important value-based care initiative popular with health care providers, ...

CMS has been trying to scale value-based care for decades with mixed results — but the agency’s newly announced ACCESS model could represent a more meaningful step toward aligning payment with ...

Federal changes will limit how far back coverage can reach for new Medicaid patients, raising concerns about medical debt and uncompensated care.

The study used a national Medicaid claims database and excluded Oregon, South Dakota and Arkansas because of reporting ...

Patient engagement has matured from aspiration to necessity as precision medicine moves from laboratory concept to bedside. Cutting-edge therapies increasingly target narrowly defined genetic or ...