CMS should provide stable year-over-year funding to Medicare Advantage for supplemental benefits and incentivize MA plans to ...

Clayton brings over 20 years of risk adjustment experience and a unique perspective as both a former RADV auditor and a health plan executive who led organizations through successful audits. Chris ...

AI for prior authorization determinations in a recent survey. A Senate investigation shows they’re right to worry.

Analysis compares care quality and efficiency within physician groups that treat Medicare Advantage patients under at-risk ...

Medical bills can be ridiculously expensive. Anyone who's ever broken an arm, had a baby, spent time in the emergency room, ...

Courtney Leader has been closely following the contentious tax and spending debate in Washington – not that she cares much ...

In fiscal 2023, the most recent year for which detailed financial information is available, Medicaid’s net cost was $894.2 ...

But if someone has employer coverage through a company with fewer than 20 workers, Medicare generally becomes the primary payer when they turn 65. The real estate law firm at which Diamond is a ...

Rural hospitals across the country, many already struggling to stay afloat, could face devastating consequences if proposed ...

Plans to scale back a provider tax that states use to fund their Medicaid program could deal a greater financial blow to ...

Maximize Your Coverage: Understanding Medicaid And Medicare At 65. From the National Asian Pacific Center on Aging. When people turn 65, many face a shift in their health insurance coverage.