When I took on the role of leading Medicare, one of my primary goals was to crush the chronic fraud, waste, and abuse in the program. Ensuring that taxpayer dollars are used responsibly and that ...

Medicare will test using AI to help decide whether patients get coverage — which could delay or deny care, critics warn ‘Stagflation is coming to the U.S.,’ says this economist. Here’s what it means ...

The Centers for Medicare & Medicaid Services (CMS) will use AI to help make prior authorization decisions via the new Wasteful and Inappropriate Service Reduction (WISeR) Model, but the final decision ...

Much has been written about the healthcare policy changes implemented by the 2025 Trump administration. President Trump has issued numerous ...

New evidence of effectiveness is cause to drop a Biden restriction on Medicare coverage for anti-amyloid treatments.

UnitedHealthcare says it’s dropping some of its Medicare Advantage plans that collectively cover 600,000 people.

Dr. Oz, Trump's unqualified Administrator of Medicare admitted to Margaret Brennan on CBS' Face the Nation that Americans will pay more for medications and prescription drugs because of Trump's ...

U.S. Rep. Maggie Goodlander signed onto a letter alongside 41 other U.S. representatives asking Dr. Mehmet Oz, administrator ...

Dr. Mehmet Oz discusses healthcare challenges and frustrations faced by Americans, including long waits for appointments and surprise hospital bills.

CMS’s efforts to reduce waste, fraud, and abuse go further. For example, CMS recently announced that they were more aggressively targeting Medicare Advantage (MA) audits through their Risk Adjustment ...