The numbers appeared tied to estimates on the number of people who may be cut from Medicaid under U.S. President Donald Trump's "Big Beautiful Bill." ...

However, some plans state that someone has to make the claim. Individuals can check their plan details for confirmation. The claims process may vary depending on the Medicare part. For example ...

Physicians should expect to see more Medicare alternative payment models that involve downside risk, Abe Sutton, JD, director ...

I. Introduction - The Centers for Medicare & Medicaid Services (CMS) issued the proposed rule on April 11, 2025, for the skilled nursing ...

The IOTA Model is a complex mandatory payment model that purports to test whether hospital performance-based incentive payments will increase access to kidney transplants; however, these payments are ...

Amid protests, GOP proposes $770 billion Medicaid reduction, sparking fears of hospital closures and health care access issues across the US.

An examination of recent litigation under the Employee Retirement Income Security Act of 1974 (ERISA) challenging allegedly excessive fees paid by ERISA health plan sponsors (in their fiduciary ...

Two weeks after it walked back claims that it was creating an ... The Centers for Medicare and Medicaid Services (CMS) and NIH will start this partnership by establishing a data use agreement ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

Q1 2025 Earnings Call Transcript May 13, 2025 GoHealth, Inc. misses on earnings expectations. Reported EPS is $-0.52 EPS, ...

Privatization of publicly funded Medicare and Medicaid, managed care, and “value-based payment”1 have failed to reduce cost ...

Welcome to the Evolent Earning Conference Call for the First Quarter Ended March 31, 2025. As a reminder, this conference call is being recorded. Your host for the call today from Evolent are Seth ...