The number of Medicare beneficiaries treated in accountable care organizations continues to rise, according to new data from ...

The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against ...

Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...

The CMS has proposed several key changes for 2027, to make sure Medicare "works better for the people it serves." ...

President Trump signed into law a two-year extension of telehealth services for older adults covered by the Medicare health ...

Medicare director Chris Klomp said the Trump administration is “massively” in support of MA as health insurers cry foul over ...

On January 26, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2027 Advance Notice of Methodological Changes ...

Molina Healthcare, Inc. has 14.5% Medicare revenue with flat 2027 MA rates and 88% upside from rate revisions. See why MOH ...

CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.

On Jan. 1, CMS launched the latest value-based care model known as the Transforming Episode Accountability Model, or the TEAM ...

The list has been announced by the Centers for Medicare & Medicaid Services (CMS) shortly after the reductions agreed for the ...