The case, originally filed by a whistleblower in 2021, alleges that MAOs paid agents and brokers illegal kickbacks to drive ...

Past audits of Medicare Advantage bills by the Centers for Medicare and Medicaid Services found that overpayments totaled between 5% and 8% of total expenditures, he said, a range that would ...

The Centers for Medicare & Medicaid Services today announced it has identified a fraud scheme targeting Medicare providers ...

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

The CMS will crack down on overpayments to Medicare Advantage plans, moving to significantly expand its capacity to audit whether insurers are inflating their enrollees’ illnesses, the agency ...

This week, the Centers for Medicare and Medicaid Services touted a new agreement with a slew of health insurance plans to ...

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

Mayor Adams announced Friday that his administration will not “at this time” shift the city government’s retired workforce ...

Medicare Advantage Plans Nationwide Rely on Inovalon’s End-to-End Quality and Risk Adjustment Software To Prepare for CMS ...

As Senate Republicans go deep into reconciliation bill-drafting mode, Medicare is increasingly coming up as a potential ...