This follows a bombshell lawsuit just filed by the U.S. Department of Justice accusing many insurance brokers of taking ...

Adjusted estimates of the cost implications of projected Medicare Advantage growth are lacking and essential to discussions ...

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

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

Cai, lead author of the Mass General Brigham study, says, “Medicare Advantage plans receive more money per beneficiary than ...

Shares of Humana and other health insurers fell Thursday after the Centers for Medicare & Medicaid Services said it plans to ...

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

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 plans will receive a 7.2% payment increase in 2026. Impact on benefits and coverage, explained.

Overall, the Republican tax bill, known as the One Big Beautiful Bill Act, would add $2.3 trillion to the deficit over 10 ...

Beneficiaries of certain Medicare Advantage plans may be able to access supplemental benefits like greens fees and ski passes ...