In what is potentially among the largest frauds in Medicare history, prosecutors say hundreds of thousands of people were ...

This week, nearly two dozen state attorneys general told hospitals they are still obligated under law to provide emergency ...

The Centers for Medicare & Medicaid Services today announced it has identified a fraud scheme targeting Medicare providers ...

The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization program pilot.

The Republicans’ big bill would require most states to build technology systems quickly and with little funding.

The case, originally filed by a whistleblower in 2021, alleges that MAOs paid agents and brokers illegal kickbacks to drive ...

CVS Health's pharmacy benefit manager unit must pay the U.S. government $95 million after a federal judge found it ...

The Centers for Medicare & Medicaid Services is warning healthcare providers and suppliers about a new fraud scheme involving fake faxed requests for medical records. According to a June 26 alert ...

Two Republican senators are urging the Centers for Medicare and Medicaid Services (CMS) to “use full authority under law” to preserve the Medicare home ...

The Emergency Triage, Treat, and Transport model, which CMS ended early in 2023, failed due to problems with program ...

Proposed federal Medicaid cuts could jeopardize dozens of rural hospitals in Louisiana, where one in three residents relies ...

During a national TV appearance, Dr. Mehmet Oz sparked backlash by not understanding how credit cards work while discussing ...