On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced a significant expansion of its auditing ...

The One Big Beautiful Bill Act was passed in the House and is now in the hands of the Senate. If passed, it would include big ...

The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology ...

Hospitals and medical centers across the United States are increasingly opting out of Medicare Advantage (MA).

Under the Medicare Drug Price Negotiation Program, the HHS secretary negotiates directly with manufacturers on the prices ...

The HHS said it has taken the first step toward implementing most-favored-nation pricing for prescription drugs.

The Department of Health and Human Services (HHS) wants feedback on how it can develop better digital health tools for ...

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced significant changes in its risk adjustment data ...

UnitedHealth Group said 2025 revenue at Optum would be $10 billion less than previously estimated. Now the company is saying ...

The insurer contended the federal agencies should have made ratings adjustments to account for disruptions to health services ...