Humana has informed congressional staffers that it supports measures to limit billing practices that result in billions of ...

Compared with traditional Medicare, Medicare Advantage plans are, on average, paid more by the taxpayer-funded Medicare system for covering each enrollee. Advantage plans also have more flexibility to ...

Humana has informed congressional staffers that it supports measures to limit billing practices that result in billions of extra payments to the industry. The company expressed willingness to ...

Blue Cross Blue Shield of Michigan is engaged in the most consequential reimbursement negotiations with hospitals in its 86-year history. The Detroit insurer, the state’s most dominant with a 63% ...

Cuts to Medicaid and NIH, along with trade tariffs, will make it harder to give Americans the kind and quality of care they need, doctors argue. "Quiet advocacy is insufficient," one AMA member said.

Senate Republicans appear less likely to try to make changes to Medicare Advantage as part of their massive tax and spending ...

The vast majority of diagnoses codes that CVS subsidiary Coventry submitted to the CMS between 2018 and 2019 weren’t ...

Policy makers should modernize Medicare payment policy and require direct billing by nurse practitioners and physician ...

Major changes to broker compensation policies may need to wait until the outcome of litigation over CMS’s 2024 proposal, but ...

UnitedHealth is reviewing four bids for its Latin American unit Banmedica, aiming to finalize a sale amid financial setbacks ...

The ruling comes just months after the city had attempted to switch retirees from their traditional Medicare to a privatized Medicare Advantage Plan from Aetna. The city had argued the new plan ...