Aetna, a unit of CVS Health , agreed to pay $117.7 million to resolve U.S. government charges it defrauded Medicare by knowingly submitting inaccurate diagnosis codes for morbid obesity and other ...
UNITED STATES—Dear Toni: I retired from my employer in July when I turned 67 and enrolled in COBRA, which began August 1, ...
In its 2026 Physician Fee Schedule, CMS finalized a mandatory payment model that will begin Jan. 1, 2027, and hold certain outpatient specialists financially accountable for how they manage chronic ...
CMS’s 2025 Advanced Primary Care Management program pays monthly per-patient fees for care already delivered, yet most ...
The federal health agency will shift select on-premises workloads to OCI as part of an IT modernization effort, leaning on Oracle's FedRAMP High-authorized cloud to meet strict federal security and ...
The number of Medicare beneficiaries treated in accountable care organizations continues to rise, according to new data from the Trump administration. The Centers for Medicare & Medicaid Services (CMS ...
At the end of January, the Centers for Medicare and Medicaid Services (CMS) sent shockwaves through the healthcare industry when it proposed a substantially smaller-than-expected increase in the rate ...
Molina Healthcare remains a strong investment opportunity despite sector volatility from proposed 0.09% (flat) Medicare Advantage rate increases for 2027 versus analyst expectations of ~5%. MOH's ...
The threat of virtually no payment rate increases next year for Medicare Advantage plans sent managed care organizations, and their investors, reeling yesterday, and adds another question mark for ...
WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) has notified Medicare Advantage organizations of a new system for managing and tracking provider complaints. The agency has implemented ...
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