The plan to investigate the private health-insurance companies that run Medicare Advantage has been drastically expanded.

New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member ...

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving ...

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

Medical alert systems are vital to helping many older adults maintain their independence. As we age, the added peace of mind ...

UnitedHealth investors have another bitter pill to swallow, as the CMS said it was aggressively growing its audit team to ...

Shares of major U.S. healthcare firms came under pressure Wednesday following the Centers for Medicare and Medicaid Services’ ...

UnitedHealth Group said 2025 revenue at Optum would be $10 billion less than previously estimated. Now the company is saying ...