A bipartisan group of House lawmakers is making another run at softening hospital-stay requirements needed to qualify for ...

The so-called "One, Big Beautiful Bill," spanning over 900 pages, includes the largest cuts to Medicaid in the program's 50-plus years. What to know.

Officials said they had "identified suspicious activity related to unauthorized creation of certain beneficiary online ...

Opioid addicts covered by Medicare and Medicaid are less likely to receive the mental health and substance use treatment that ...

The Centers for Medicare & Medicaid Services (CMS) has announced the launch of the Wasteful and Inappropriate Service ...

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

Health Maintenance Organization Point-of-Service (HMO-POS) plans are Medicare Advantage plans that combine parts of HMO and Preferred Provider Organization (PPO) plans. Learn more here.

Medicare provides 12 months of medically necessary maternity coverage, including diagnosis, prenatal checkups, delivery, and postnatal care. Learn more.

From late penalties to premium reimbursements, here’s what every retired fed should understand about enrolling in Medicare ...

Proactive, year-round engagement is key to reducing AEP fatigue and helping consumers make informed decisions without the pressure of last-minute choices. AI-driven call center insights allow carriers ...

Pindolol is a beta-blocker medication often prescribed to manage high blood pressure. Since doctors often prescribe beta-blockers, you should get coverage for pindolol or an appropriate alternative ...

Patient advocates say they frequently hear from people who thought they didn’t need to sign up for Medicare upon turning 65 ...