Hospitals and medical centers across the United States are increasingly opting out of Medicare Advantage (MA).

The plan to investigate the private health-insurance companies that run Medicare Advantage has been drastically expanded.

On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced a significant expansion of its auditing ...

Last week, I was flipping through the newly filed financial documents of AdventHealth, and the numbers hit me like an ...

About a third of enrollees seek help in making complex decisions about whether to enroll in original Medicare or Medicare ...

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology ...

The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

New bipartisan bill would streamline prior authorization in Medicare Advantage, improving care access for older Americans.

CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.

Beneficiaries of certain Medicare Advantage plans may be able to access supplemental benefits like greens fees and ski passes ...

The Department of Justice is going after some Medicare Advantage plans for a scheme to pay millions of dollars to steer ...