Medicare, or someone representing Medicare, will only call and ask for personal information in limited situations (like an agent or representative returning your call after you've joined a plan, ...

ContrastConnect has released a guide clarifying the modalities of direct versus general supervision for contrast ...

The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

Before deciding on a Medicare plan, it’s a good idea to learn all you can about coverage options and costs. The questions below can help you narrow down your choices and find a plan that suits your ...

There is plenty of bad coming out of the federal government on health care. CMS is the exception, write Ezekiel J. Emanuel ...

Retirees should brace themselves for both positive and negative changes to Medicare this year.

Under the Medicaid program, the federal government helps finance state health care spending with a matching rate calculated based on the Federal Medical Assistance Percentage (FMAP). As we’ve shown ...

Transparency Scorecard to increase visibility into non-clinical dimensions of MA plan performance that fall outside the appropriate scope of Star Ratings.

Critics say the rule would "roll out the red carpet" for high-deductible junk insurance p ...

CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.

"To avoid any future health care surprises, can you tell me what original Medicare doesn’t cover in 2026?" ...