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...

More than just interesting: Untied Health Care 's 'self-dealing' is detailed in a new investigative article. Self-dealing is defined as...

HCSC will acquire Cigna's Medicare units, including Medicare Advantage, Medicare supplement and Medicare drug plans for $3.3...

MA continues to grow, but there are signs that its profitability is on the decline with margins declining from 4.9 percent in 2019 to 3.4...

The Federation of American Hospitals is urging CMS to integrate a quality measure in the MA star ratings system that mandates health...

Medicare Advantage rates will go up by 3.7 percent in 2025, giving plans an extra $16 billion compared with this year, according to the...

A CMS memo to MA plans sent last week said "An algorithm that determines coverage based on a larger data set instead of the individual...