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

Providers should prepare for the fallout following a recent CMS announcement that it will take a more aggressive approach to ...

At the insurer's investor day, Humana struck a middle ground in defending the importance of the privatized Medicare program — ...

“While the Administration values the work that Medicare Advantage plans do, it is time CMS faithfully executes its duty to audit these plans and ensure they are billing the government accurately ...

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

Medicare Advantage has become a system dominated by a handful of massive insurers who are gaming the rules for profit and ...

UnitedHealth investors have another bitter pill to swallow, as the CMS said it was aggressively growing its audit team to suss out “fraud, waste and abuse.” ...

If you're tempted to ditch your Medicare Advantage plan, you're not alone. Here's when it's a good idea and how to go about ...

"While the Administration values the work that Medicare Advantage plans do, it is time CMS faithfully executes its duty to audit these plans and ensure they are billing the government accurately ...