CMS’s proposed crackdown on Medicare Advantage upcoding could save billions and mark a turning point in the fight against ...
CMS's proposed 0.09% Medicare Advantage rate hike for 2027 triggered a sharp sell-off across US health insurers, signaling ...
Medicare director Chris Klomp said the Trump administration is “massively” in support of MA as health insurers cry foul over ...
The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.
Federal authorities have stepped up oversight of the health insurance exchange marketplaces since President Joe Biden took office. The Centers for Medicare and Medicaid Services, for example, has ...
States and health insurers received new guidance from the Centers for Medicare & Medicaid Services (CMS) May 2 on how to prepare should Congress fund cost-sharing reduction (CSR) payments or extend ...
Major health insurers saw shares plunge on Tuesday after the latest proposal from the White House on Medicare payments for ...
The chairman of the Senate Finance Committee called on the Biden administration to stop allowing unscrupulous brokers to switch consumer’s health insurance plans without their consent and knowledge.
CMS issued a final rule Dec. 20 that aims to strengthen the integrity of state-based insurance exchanges under the ACA and includes separate billing for abortion services. The final rule requires ...
The Centers for Medicare and Medicaid Services is using algorithms that “seem to go after good agents who are minority agents and, therefore their minority communities,” the CEO of a health insurance ...
CMS has awarded CGI a $93.7-million contract to build the health insurance exchanges that will be federally facilitated, according to a CGI news release. CGI will work with the CMS Center for Consumer ...
The Centers for Medicare and Medicaid Services is lifting former restrictions and will allow the struggling Affordable Care Act co-ops to obtain needed private capital. CMS released the interim final ...