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

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

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

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

This follows a bombshell lawsuit just filed by the U.S. Department of Justice accusing many insurance brokers of taking ...

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

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

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving ...

The Trump administration plans to expand government audits of private Medicare health plans, adding more scrutiny to an ...

Medicare Advantage plans will receive a 7.2% payment increase in 2026. Impact on benefits and coverage, explained.

Adjusted estimates of the cost implications of projected Medicare Advantage growth are lacking and essential to discussions ...

On December 11, 2024, the U.S. Department of Health & Human Services’ Office of Inspector General (OIG), issued a Special Fraud Alert (Alert) ...