The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against ...

We may only be one month into 2026, but the Centers for Medicare & Medicaid Services (CMS) is already planning the prices for ...

As the Centers for Medicare and Medicaid Services (CMS) hits reset on an important value-based care initiative popular with health care providers, ...

Following the repeal of the federal nursing home staffing mandate, attorneys general from 18 states along with resident ...

Medicare Advantage is facing unprecedented challenges from a decrease in reimbursement rates and the federal government’s ...

The CMS Final Rule signals a future in which prior authorization isn’t just faster but fairer. AI has the potential to accelerate decisions, lower administrative costs and support equitable access to ...

Attorneys general in 18 states have asked CMS to reconsider its repeal of the nursing home staffing mandate and to recast a rule focused on for-profit providers.

Mary C. Mayhew is president and CEO of the Florida Hospital Association.

The Odessa American is the leading source of local news, information, entertainment and sports for the Permian Basin.

Chairman Rep. John Joyce, MD (R-Pa.), highlighted a number of alleged scammers, including a man from Pakistan who, along with six others, is accused of billing Medicaid $650 million in a substance use ...

The company’s data will be essential for many states to comply with new work requirements for the health insurance program ...