A Texas federal judge has sided with UnitedHealthcare in determining regulators messed up calculating its Medicare Advantage ...
One morning in late April, a small brick health clinic along the Thurgood Marshall Highway bustled with patients. There was ...
We’re in the Medicare open-enrollment season, and I strongly advise patients signing up for Medicare to avoid Part C Medicare ...
A measure to speed pre-approvals and expand reporting is backed by a majority of Congress, but that may not be enough to get ...
They also want to know if they can say “no.” My answer is simple: no, it is not a scam, and yes, they can refuse the visit ... the Center for Medicare and Medicaid Services (CMS) pays the insurance ...
Wave goodbye to the Part D "donut hole" and hello to a $2,000 cap on medication expenses. But other changes may be less ...
Robert F. Kennedy Jr. is pushing for changes to Medicare's physician payment model, aiming to prioritize primary care and prevention.
With President-elect Donald Trump's recent announcement of former surgeon-turned-TV host Dr. Mehmet Oz to lead the Centers ...
"The Centers for Medicare & Medicaid Services is a workhorse agency. It helps ensure access to healthcare for millions of Americans, including our nation's seniors, our children and the poorest ...
To avoid the potential pitfalls of using AI systems for prior authorizations, health plans need to be proactive and ...
A WARN notice says that an agreement between the hospital and the Secretary of Health and Human Services would be terminated because the hospital was not in compliance with some of the Medicare ...
United used an algorithm system to identify patients who it determined were getting too much therapy and then limited ...