CMS bends to health plans' will on call center scoring.  UnitedHealthcare, Centene and Humana have all sued the government this fall for...

The Cigna Group Announces Agreement to Sell Medicare Business  The Cigna Group announced an agreement to sell our Medicare Advantage,...

Fewer Than Half of Nursing Homes in 45 States Have Staff to Meet New RequirementsCMS' finalized nursing home staffing requirement rules,...

AHIP, AMA, and NAACOS Release Playbook to Boost Value-Based Care Adoption In a collaborative effort to advance value-based care...

Prior authorization requirements by insurers has plagued providers and patients for years and it seems to only be getting worse and...

The federal government’s proposed Medicare payment increase for 2025 is not sitting well with the nursing home sector, with financial...

The Centers for Medicare & Medicaid Services (CMS) held an open door forum Tuesday, which addressed updates outlined in the proposed...

During Health Care Value Week last week, CMS introduced the Value-Based Care Spotlight, a website dedicated to promoting understanding...