Reps. Lloyd Doggett (D-Texas), Ranking Member of House Ways and Means Health Subcommittee, and Greg Murphy (R-N.C.), also a member of the...

A recent $421 million fraud verdict against Blue Cross and Blue Shield of Louisiana cast a national spotlight on the controversial...

MA enrollment reached 51.5 percent of eligible beneficiaries for 2025, a slight increase from 50.8 percent in 2024. As of March 2025, MA...

As the Republican led Congress continues to look for ways to slash spending, more eye are turning to Medicare Advantage. Our team has...

Last year, Medicare Advantage plans spent $38 billion on services traditional Medicare doesn't pay for, such as gym memberships, meals,...

A Federal Judge has ruled that nursing homes will not have to comply with new staffing rules set by the Biden Administration. Judge...

‘A Band Aid on a Gaping Wound’: CMS’ $20M Incentive for RNs in Nursing Homes Leaves Much to be Desired The Centers for Medicare and...

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...