The agency is looking at “testing new approaches and really being able to think outside of the box” to claw back improper ...

Medicare provides coverage for millions of seniors. A recent rule change could affect those with benefits.

To date, every court that has considered substantive challenges to the Medicare drug price negotiation program has ruled ...

Shares of Elevance Health dropped 8% on Monday after the insurer revealed it had received notice from the U.S. Centers for Medicare and Medicaid Services that enrollment for its Medicare Advantage ...

What appeared to be a surge of grassroots support for higher Medicare Advantage payments was actually driven by a pro-industry group.

New York's Medicaid program is being thoroughly examined by Centers for Medicare and Medicaid Services (CMS) Administrator Dr. Mehmet Oz, who claims there is evidence of widespread fraud. In a letter ...

The Centers for Medicare & Medicaid Services March 16 announced it will transition later this year to a new centralized platform for managing federal independent dispute resolution operations related ...

On February 3, 2026, the Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) issued the Medicare Advantage (“MA”) Industry Segment-Specific Compliance Program Guidance ...

SCAN Health Plan is rolling out a new program that aims to train brokers to serve as better navigators in the member care journey. Through the Brokers as Health Navigators initiative, the insurer will ...

The Centers for Medicare & Medicaid Services is seeking comments by May 11 on its proposed revisions to data reporting requirements for Medicare Advantage and Part D plans, according to a Paperwork ...

The Trump administration has opened grant applications for a new model that aims to offer Medicare coverage to functional and lifestyle medicine providers. The Centers for Medicare & Medicaid Services ...