Question: Regarding the Social Security Fairness Act, I am getting my money but now there’s a problem with my Medicare ...

Standalone children’s hospitals say the Medicare hospital-at-home waiver puts them at a disadvantage against competitors ...

Shortly following its announcement of sweeping changes to RADV audits, CMS shared industry guidance last week regarding ...

David Hyman and Charles Silver write that rather than adhering to the traditional stucture of Medicaid, we might consider ...

Sen. Thom Tillis (R-N.C.), a member of the Senate Finance Committee, said Thursday that GOP lawmakers are looking at changes to Medicare to root out waste, fraud and abuse. Republican senators are ...

I need to know how to begin my Medicare benefits as quickly as possible, because my health plan won’t cover my cancer ...

CMS announced that it plans to increase its auditing efforts for Medicare Advantage (MA) plans. Effective immediately, CMS ...

Efforts to reform utilization management policies must prioritize clinical value, improve transparency, ensure alignment with ...