A recent OIG report found that diagnoses reported in 2022 Medicare Advantage (MA) encounter data based only on health risk ...

State officials and Democrats in Congress are working to limit the new DOGE access to critical information systems.

Elon Musk's Department of Government Efficiency is quickly expanding its reach through the federal government.It recently ...

The Department of Government Efficiency, has focused in on the Center for Medicare and Medicaid Services. What could DOGE's efforts mean to the tens of millions of Americans who rely on them?

Two senior agency veterans focused on policy and operations are working with DOGE to review the agency overseeing Medicare and Medicaid, which provide health insurance for about 1 in 4 Americans, ...

Recent proposals from Republican congressional leaders and conservative think tanks would cut Medicaid by taking coverage away from people who don’t meet unnecessary and burdensome work requirements. ...

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

Biden-era policies rescinded by Donald Trump could signal a significant shake-up in Medicare and Medicaid drug price reforms.

About 1.4 million Americans live in nursing homes, but how do they pay for it? The majority—nearly two-thirds of all nursing home residents—rely on Medicaid to foot the bill. But getting approved for ...

Languages: English. Funding cuts and regulatory changes could radically reduce Medicaid, the largest program providing medical and health-related services to low-income people, as well as Medicare ...

Republicans took control of Washington this month and swiftly began eyeing enormous Medicaid cuts. Yet actually taking a huge chunk out of the healthcare program for low-income people will prove a ...

While California lawmakers have pushed to expand Medicaid coverage for undocumented immigrants, federal lawmakers may soon attempt to claw that coverage back. Rep. Kevin Kiley, R-Rocklin ...