Rivers are a source of water for human beings and crops, they help generate electricity through dams built on them in their ...

For years, extra perks in Medicare Advantage (MA) caught people's attention. Dental care, grocery cards and gym memberships made plans feel generous and easy to sell. But over the ...

The AHA today submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs ...

A majority of counties experienced growth in penetration of Medicare value-based approaches: Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) and Medicare Advantage (MA).

The proposed 0.09% Medicare Advantage payment increase is due to two key changes: a data update and a crackdown on 'chart review' diagnoses. We break it down.

A top health oversight official at San Francisco City Hall is now siding with Blue Shield in the high-profile case of an ...

Mellet highlighted that "premium growth of 40% from '24 to '26" is expected, but statutory capital requirements will increase by less than 20%. She stated, "These improvements in capital efficiency ...

"CMS proposes scrapping standardised ACA plans and more broker oversight" was originally created and published by Life ...

CMS appears to have made even more changes to its antipsychotic quality measure without advance notice, experts say. One consequence could be lower star ratings of which providers are unaware.

The Centers for Medicare & Medicaid Services Feb. 9 released its 2027 proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees.

Digital quality measures are expected to enable alignment between clinical care, reporting requirements, and program accountability ...