Justice Department prosecutors recently interviewed former employees about company practices that boost federal payments.

Orthopedic surgeons are vital to the health care system, helping patients regain mobility and improve their quality of ...

Investigators from the U.S. Department of Justice are questioning former employees of UnitedHealth Group as part of a probe ...

Reforming Medicare resembles the old cliché about the weather: everyone (at least in DC) talks about it—but no one does ...

Social Security and Medicare trust funds, which help pay benefits, are projected to run dry. What will happen then?

Medicare payments to physicians for gastrointestinal procedures such as colonoscopies and esophagogastroduodenoscopies declined significantly, with inflation-adjusted cuts of over 22% for both ...

Medicare Part B premiums could rise to $206.50 per month in 2026, up from $185 in 2025. That 11.6% increase would be the ...

A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about administrative burden.

Millions of retirees are receiving reduced Social Security checks in July 2025. Learn why it’s happening and who is impacted.

In a July 2, 2025, press release, the U.S. Department of Justice (DOJ) announced a new “DOJ-HHS False Claims Act Working Group” (the Working Group) and identified multiple priority enforcement efforts ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...