A top prosecutor suggested on Thursday that the total amount of fraud in Minnesota could be $9 billion or more.

Providers in 14 “high-risk,” state-run Medicaid programs being audited by the state have billed $18 billion since 2018, with ...

Some Medicare enrollees may soon be able to access super-popular drugs for obesity under a voluntary model program, the ...

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

Speech therapists say a change to Iowa Medicaid reimbursement rates could reduce services and make wait lists longer.

CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care ...

A new Department of Health and Human Services report reveals Medicaid programs made over $200 million in improper payments to ...

Artificial intelligence will soon be used for prior authorization for certain Medicare services in Texas and five other ...

Medicare Part B covers many common services that seniors don't know are covered. Find out which ones to make sure you're ...

The Centers for Medicare & Medicaid Services (CMS) is proposing a groundbreaking drug payment model to address the ...

Major changes are coming to Medicare in 2026. Recipients should plan ahead of important services come to an end.

The Trump administration has revealed what comes next when the ACO REACH model concludes at the end of 2026. | The Trump ...