Last week, Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz sent an eight-page letter to Gov. Hochul and ...

Rampant Medicare fraud schemes in Los Angeles allegedly bilk taxpayers for billions through fake home health agencies and ghost patients across the city.

CMS Administrator Dr. Mehmet Oz said the agency has had internal discussions about introducing an agentic AI tool “for every beneficiary.” ...

A new study published in the current issue of the Journal of Managed Care & Specialty Pharmacy (JMCP)—conducted by a Humana Healthcare Research team and Dr.

Your initial Medicare enrollment window actually begins three months before the month of your 65th birthday, allowing you to sign up ahead of time and put that coverage in place right away. But if you ...

A new report from the United States Congress Joint Economic Committee (JEC) reveals that Americans are overpaying for ...

As part of its commitment to protect patient access to care as the One Big Beautiful Bill Act (OBBBA) (PDF) is implemented, the AMA continues to engage with CMS, support state and specialty medical ...

We all have experienced this scene. You are sitting with a resident during lunchtime in the dining room of a skilled nursing facility. She had always been ...

Health insurer UCare failed to transport a patient for life-sustaining dialysis treatments in January, which state regulators called a critical example of systemic scheduling and customer service ...

People in Lansdale and North Wales notice new wellness centers appearing in town almost every month. These spots offer ...

The group, known as MedPAC, is independent and advises Congress on Medicare. It has routinely highlighted overpayments to Medicare Advantage insurers. And it is now facing more pushback from industry ...

As the Centers for Medicare and Medicaid Services calls for public feedback on how to stop lab test fraud, experts say a tailored regulatory strategy will be key to avoid stifling innovation.