Medicare Advantage (MA) penetration has reached as high as 70 to 80 percent in some markets, , but it is creating “friction” ...

A group representing West Virginia’s four largest managed care organizations presented lawmakers with a roadmap for reducing ...

Healthcare spending reached $5.3 trillion in 2024, an increase of 7.2% over the previous year, CMS said Wednesday.

Thrive Behavioral Services has received a blistering letter from the Rhode Island Executive Office of Health and Human ...

As part of ongoing efforts to prevent and combat the fraud that has roiled social services programs meant to help Minnesotans ...

Medicare will significantly expand the use of prior authorization (PA) and post-service review for select services beginning next year, and private contractors will be permitted to use artificial ...

The Centers for Medicare and Medicaid Services (CMS) has released the 2026 Medicare Physician Fee Schedule (PFS) final rule, updating the PFS conversion factor from $32.3465 to $33.5675 for qualifying ...

The Medicare Payment Advisory Commission (MedPAC) is once again beating the drum for reducing Medicare payment rates for skilled nursing facilities. Specifically, the commission’s draft recommendation ...

Without a doubt the most comprehensive and daunting annual regulatory event facing physician practices is the release of the final Medicare Physician Fee Schedule (PFS) rule, which updates payment ...

'That was an odd year for us' "The impact is relatively small in context but it's still annoying to have it happen." (Photo subjects are models.) Dear Help Me Retire, I just received a Social Security ...

Thirty-three hospital systems are dropping their Medicare Advantage (MA) contracts, reports Becker’s Hospital Review. The publication has been monitoring participation rates for several years. In 2024 ...