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 ...

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

As the federal government investigates UnitedHealth Group’s Medicare Advantage (MA) plans over alleged overbilling and ...

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

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

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