CMS clawed back $13.2 million in money improperly sent to Molina Healthcare as a result of the what the Justice Department alleges were unlawful actions by insurance brokers.

Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of ...

A new regulation pending in front of the Office of Management and Budget suggests the Trump administration may be moving to ...

The American Journal of Managed Care provides insights into the latest news and research in managed care across multimedia ...

Health industry executives are welcoming Mehmet Oz’s embrace of telehealth to aid struggling rural hospitals, but say it may ...

A constant refrain from the Trump administration about rooting out fraud, waste and abuse isn’t just about budget cuts. For ...

Medicaid is a public health insurance program that covers over 72 million people, including many people with mental health conditions, as well as pregnant women, children, people with disabilities, ...

Republicans in Congress have made a lot of noise about eliminating “waste and fraud” in federal health-care spending. If they ...

To address the needs of dual-eligible people under 65, policymakers could focus on promoting better data collection and ...

Because Oklahoma has Medicaid expansion in its constitution, scaling back the program if it loses federal funding won't be ...

During a ceremony at the Oval Office, Mehmet Oz said he would focus on reducing chronic disease, “modernizing” Medicare and ...

Former television personality and 2022 Republican Senate candidate Dr. Mehmet Oz was sworn in Friday as the new administrator ...