Based on our experiences working with Medicare beneficiaries, the information people want or need to make informed decisions ...

Major changes to broker compensation policies may need to wait until the outcome of litigation over CMS’s 2024 proposal, but ...

Nursing home stakeholders remain cautiously optimistic regarding Medicare Advantage plan audits announced by the Centers for ...

Compared with traditional Medicare, Medicare Advantage plans are, on average, paid more by the taxpayer-funded Medicare system for covering each enrollee. Advantage plans also have more flexibility to ...

After nearly a year of negotiating, North Mississippi Health Services facilities and providers have terminated, as of May 31, ...

The Medicare Payment Advisory Commission (MedPAC) report (PDF) estimates the government will pay MA plans about $86 billion ...

(THE CONVERSATION) Medicare Advantage – the commercial alternative to traditional Medicare – is drawing down federal health care funds, costing taxpayers an extra 22% per enrollee to the tune of US$83 ...

While Centers for Medicare & Medicaid Services (CMS) has made improvements following previous recommendations from the Medicare Advisory Commission ...

The vast majority of diagnoses codes that CVS subsidiary Coventry submitted to the CMS between 2018 and 2019 weren’t ...

Managed Healthcare Executive gives C-suite executives in health plans and provider organizations news and strategies for value-driven solutions.

More than half of older Americans now get their Medicare coverage through an insurance company's Medicare Advantage plan.