Breaking DOGE’s momentum and reversing the damage done are the highest priorities, but serious long-term counter-measures are needed as well. Messaging clearly needs to be a big part of it, but ...

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 ...

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 ...

UnitedHealth Group’s stock plunged Thursday morning after a report that the embattled insurance giant was being probed for Medicare fraud. The Department of Justice has been conducting the ...

Cutting Medicaid shifts costs to Medicare, increasing the burden on federal taxpayers. Medicaid covers essential services not covered by Medicare, such as nursing home care and premiums ...

Original Medicare (parts A and B) provides hospitalization and outpatient coverage. Part D covers prescription drugs. Part C offers a private option for parts A and B, along with additional benefits.

audits and reviews," without disclosing further details. In February, the Journal reported a civil fraud investigation into UnitedHealth's Medicare practices. The company had then said that it was ...