The new model incorporates artificial intelligence to help make decisions and is being tested in six states beginning in ...

As lawyers who represent whistleblowers under the False Claims Act, we expect a new era of fraud cases tied to GLP-1 drugs, ...

Traditional Medicare will face greater use of prior authorizations under a pilot program by the Centers for Medicare & ...

House Democrats are sounding the alarm and demanding more information about a new HHS demonstration they say will increase red tape by adding prior authorization requirements in Medicare. A group of ...

The Centers for Medicare & Medicaid Services (CMS) will use AI to help make prior authorization decisions via the new ...

Medicare costs are projected to rise by their highest amount in years. Here’s what to expect if you’re on Part B or Part D.

Medicare Part B pays 80% of the Medicare-approved ambulance rides after you’ve met your annual Part B deductible ($257 in ...

You may be aware that if you're old enough to get Medicare, it means you're also old enough to sign up for Social Security.

Saint Joseph Hospital warns of scammers posing as hospital staff and asking for Medicare or Medicaid information. Officials urge the public to hang up and report the calls.

In every way, a study published this January in a major medical journal was a win for UnitedHealth Group. It showed that ...

Medicare Advantage outperformed traditional Medicare on clinical quality measures before and during the COVID-19 pandemic; mid-pandemic, however, traditional Medicare narrowed the gap on some ...

House Democrats are sounding the alarm and demanding more information about a new Department of Health and Human Services (HHS) demonstration they say will increase red tape by adding prior ...