The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
The agency released new data on independent dispute resolution in the first half of 2025. Roughly 1.2 million cases were ...
Officials from the federal government had a big presence at JPM this year and were actively engaging with the healthcare industry. The CMS wants to spur private sector innovation to move the needle on ...
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released the Contract Year (CY) 2027 Medicare Advantage (MA) and Part D ...
Medicaid and CHIP cover almost half of American children. A new CMS policy means we will know less about their health.
More than 100,000 individuals may have been impacted by a "data incident" where unauthorized Medicare beneficiary accounts were made using their information. The Centers for Medicare & Medicaid ...
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