CMS said Elevance had "substantial and persistent noncompliance" with requirements to submit information about its customers.

The Centers for Medicare and Medicaid Services is freezing enrollment in Elevance Health’s Medicare Advantage-Prescription Drug Plans for alleged noncompliance with risk adjustment and data submission ...

CMS suspend enrollment into Elevance Medicare Advantage plans starting March 31 due to noncompliance with risk adjustment data requirements.

As part of the Rural Health Transformation Program, 42 states are expanding or establishing new alternative payment models, a recent analysis shows.  | Forty-two states are expanding or establishing ...

For some independent cardiology practices, financial and operational stability may feel like a moving target as reimbursement policies and reporting requirements continue to shift. Larry Sobal, CEO of ...

A new study published in JAMA found that a new Medicare add-on billing code boosted pay significantly for specialists. The study analyzed Medicare claims data from 2024, the first year that the G22111 ...

The State Financial Officers Foundation, comprised of 40 conservative state financial officers from 28 states, applauded ...

A federal audit says Colorado shelled out roughly $78 million in improper Medicaid payments for autism therapy, and now the ...

UnitedHealth Group has seen its fair value price target trimmed from US$392.24 to US$364.63, a cut of about 7% that reflects a more cautious stance in current models. This shift lines up with the ...

Major stock indexes closed mixed Monday as markets reacted to fighting in the Middle East, while oil and gold futures ...

In his address to a joint session of Congress in March 2025, President Donald Trump set a bold goal for the U.S. government.

The second Society of Nuclear Medicine and Molecular Imaging (SNMMI) AI Summit, organized by the SNMMI AI Task Force, took ...