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

I n a striking turn of events, the Republican-led "One Big Beautiful Bill" (OBBB) is poised to enact significant cuts to Medicare, a program that serves as a lifeline for millions

This follows a bombshell lawsuit just filed by the U.S. Department of Justice accusing many insurance brokers of taking illegal “kickbacks” from insurance companies to sell se

Learn more about how the Medicare Part D prescription payment structure changed in 2025 and how to maximize medication savings with GoodRx.

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

Original Medicare has two situations in which someone is asked to sign a Medicare form during a hospital stay.

President Trump's "Big, Beautiful" bill raises concerns over Medicare cuts. Lawmakers and experts weigh in on the implications for seniors

CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.

Health insurer stocks fell early Thursday after the Centers for Medicare and Medicaid Services (CMS) said it would expand auditing efforts for Medicare Advantage in a crackdown on overpayments.Humana stock,