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

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

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

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

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

On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare ...

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

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

Overall, the Republican tax bill, known as the One Big Beautiful Bill Act, would add $2.3 trillion to the deficit over 10 ...

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week.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

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

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