Representatives of billionaire Elon Musk’s Department of Government Efficiency (DOGE) have turned their focus to the Centers ...

The difficulty that stakeholders face in comparing contracts with different structures could be solved by a standardized ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

Improper payments by the Health and Human Services Department have decreased since 2021, but some programs have seen ...

Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...

Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.

President Donald Trump was handed an opportunity to "save" Medicare Advantage after the Biden administration's final proposal ...

AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of ...

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

Older Alaskans struggle to find primary care providers and specialists. And, as the demographic grows, the issue is likely to ...

Some nursing homes in New York may be forced to close their doors without an increase in Medicaid funding, a dire warning as the state legislature starts ...

Bladder cancer is not the only cancer affected by the rule. Patients diagnosed with pancreatic, skin and thyroid cancers ...