Insurance companies are cautiously optimistic about the Trump administration’s policies for their industry: insurers saw ...

Health insurers are on alert after the Centers for Medicare & Medicaid Services announced May 22 that it is immediately ...

Beneficiaries’ initial enrollment choices, whether active or passive, tend to have long-lasting implications because ...

But, less than two months later, the company is in a state of free fall. Its collapse reflects not simply the troubles of the ...

The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.

Medicare Advantage, once a highly innovative and successful health care option providing unique benefit designs for older ...

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology ...

The Department of Justice is going after some Medicare Advantage plans for a scheme to pay millions of dollars to steer ...

New bipartisan bill would streamline prior authorization in Medicare Advantage, improving care access for older Americans.

On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced plans to substantially increase both the pace and the scale of ...

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