The plan to investigate the private health-insurance companies that run Medicare Advantage has been drastically expanded.

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

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

Bertha Coombs reports on shares of Medicare Advantage health insurers coming under pressure after the Centers For Medicare and Medicaid announces a significant ramp up in auditing of plans’ billing ...

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced significant changes in its risk adjustment data ...

The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits ...

You can get in touch with Hugh by emailing [email protected] A watchdog organization advocating for senior citizens in New York has issued a warning about a possible Medicare scam spreading ...

CAPITAL REGION, NY (WRGB) — A New York watchdog group protecting seniors on Medicare is sharing a scam alert to be aware of this month. Medical identity theft is when someone pretends to be you ...

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He ...

The U.S. Attorney’s Office says that law prevents hospitals from obtaining Medicare reimbursements for physicians who have financial relationships with the healthcare entity, and the office ...

In support of their negligence claim, lawyers for the administrators cited an FRC finding that EY had “failed to perform adequate audit procedures, to bring objectivity to bear, and to exercise ...