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 ...

Democrats said harm is inevitable if Republicans want the Energy and Commerce Committee, which has jurisdiction over Medicare and Medicaid, to find $880 billion in budget cuts over the next decade.

Hogan Lovells and the AI Health Care Coalition recently hosted their fourth annual AI Health Law & Policy Summit, where thought leaders ...

Beneficiaries’ initial enrollment choices, whether active or passive, tend to have long-lasting implications because ...

I had a big surprise when a hospital employee asked me to sign a Medicare form while I was waiting in the ER to see if I was to be admitted as an inpatient or sent home. I was lucky that the ...