The healthcare giant agreed to a $556 million settlement over claims it overstated illnesses to increase Medicare Advantage ...

Industry veteran and respected licensed health insurance producer joins one of the nation's largest FMOs to scale an ...

While telehealth expanded under Medicare during the COVID-19 pandemic, Medicare recipients will no longer be able to use ...

The findings are “very depressing,” one commissioner said. Still, it’s a smaller sum than in 2025, thanks to the continued ...

In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente (KP) has agreed to pay $556 million to settle ...

For the first time, the Medicare Part D out-of-pocket spending cap, introduced in 2025, is set to increase in 2026. Here's ...

The Centers for Medicare & Medicaid Services (CMS) is continuing to pay Medicare Advantage (MA) plans more -- $76 billion ...

Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz explains how AI is helping to uncover billions of dollars in fraud, waste, and abuse across Medicare and Medicaid. He also outlines ...

Medicare may no longer cover telehealth services after Jan. 30, the deadline for the most recent extension of congressional appropriations. The loss of coverage would prevent over 1.3 million ...

UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...

CMS reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.

The West Virginia Attorney General’s Consumer Protection Division found that Medicare scams were the most common scams of ...