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 ...

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

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 ...

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

The Trump administration plans to expand government audits of private Medicare health plans, adding more scrutiny to an industry that’s been a profit driver for insurers.

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

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 ...