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 ...

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

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 ...

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

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 ...

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 ...