The Centers for Medicare & Medicaid Services (CMS) issued a revised memo Wednesday to strengthen the Special Focus Facility ...
CMS proposes nearly flat Medicare Advantage payments for 2027, with a 0.09% increase and updated risk adjustment policies.
Last year, the Centers for Medicare & Medicaid Services (CMS) made changes to its reporting rules, Section 111, specifically as it relates to ...
On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released an Audit and Enforcement Report summarizing its annual Medicare Advantage (Part C) and Prescription Drug (Part D) program ...
Insurers offering Medicare Advantage and Medicare prescription drug plans were fined more money in the first four months of this year than in the past four years combined, according to a Healthcare ...
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Report: UnitedHealth Group used 'aggressive tactics' in Medicare Advantage risk assessments
A Senate report accuses UnitedHealth Group of turning Medicare Advantage risk adjustments into a profit strategy.
A Senate report released Tuesday alleges that UnitedHealth Group is gaming the Medicare Advantage system to reap massive payments.
In 2026, Medicare costs are expected to rise significantly, despite efforts to lower drug prices. According to the Centers for Medicare and Medicaid Services (CMS), the monthly premium for Part B will ...
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