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 ...

Retirees often spend a significant portion of their income on healthcare expenses as age-related decline leads to a higher ...

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 ...

A blockbuster lawsuit filed May 1 by the federal Department of Justice alleges that insurers Aetna, Elevance Health (formerly ...

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

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 ...

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

Shares of Humana and other health insurers fell Thursday after the Centers for Medicare & Medicaid Services said it plans to ...

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