To ensure physicians and healthcare facilities are paid correctly and consistently, payment guidelines are in place. RVUs ...

As original Medicare faces funding shortfalls, Dr. Oz may shift to private insurance providers through Medicare Advantage.

Prior authorization reforms, increased biosimilar access and the future of the Medicare drug price negotiation program are ...

The Centers for Medicare and Medicaid Services uses this task order as a mechanism for acquiring commercial cloud offerings.

In compliance with Trump's executive order, CMS will eliminate these optional questions, although a recent judicial ruling ...

Enhance Health LLC, accused with seven other companies of organizing a fraudulent scheme to switch Obamacare enrollees’ ...

The California Department of Public Health licenses and regulates health care facilities in the state, including the hospital treating Matthew Tartoria’s mother. But in a letter, the agency said his ...

Andrew S. Oseran, MD, MBA, MSc, hypothesizes that higher Medicare Advantage (MA) risk scores may result from either a more accurate capture of beneficiaries' comorbidities or inappropriate "upcoding" ...

The future of value-based care programs will likely focus on greater integration of care, as nursing homes and other ...

Q4 2024 Earnings Call Transcript February 26, 2025 Operator: Good morning. Welcome to the Lantheus Fourth Quarter and Full Year 2024 Conference Call. [Operator Instructions]. This call is being ...

A nursing home hit with a $1.8 million civil monetary penalty over what attorneys call a made-up safety violation is still awaiting court.

CMS Board of Education members are continuing to sound the alarm about possible cuts to Medicaid, school lunches and other federal programs. Six of the board's 10 members spoke out in a video posted ...