The Department of Health and Human Services June 23 announced an initiative coordinated with multiple health insurance ...

Significant, persistent failures in the system for protecting older adults have led to devastating consequences, Spotlight PA ...

To achieve its goal, Humana told investors it's set several targets, including increasing preventative care visits by 20% ...

CVS Health is a company in transition, moving away from the old pharmacy chain to an integrated healthcare giant. Read more ...

The House reconciliation bill - officially known as the One Big Beautiful Bill Act - is extraordinary in how much it robs from the poor to boost the rich. Its tax cuts for the wealthy are financed by ...

The agency said it plans to audit all eligible Medicare Advantage plan contracts for each payment year, and invest more resources. CMS Administrator Mehmet Oz said the agency is “committed to ...

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

The CMS will crack down on overpayments to Medicare Advantage plans, moving to significantly expand its capacity to audit whether insurers are inflating their enrollees’ illnesses, the agency ...

The CMS’s initiative, which begins immediately ... According to CMS Administrator Dr. Mehmet Oz, the audits will ensure that Medicare Advantage plans are accurately billing the government ...