Providers should prepare for the fallout following a recent CMS announcement that it will take a more aggressive approach to ...

“While the Administration values the work that Medicare Advantage plans do, it is time CMS faithfully executes its duty to audit these plans and ensure they are billing the government accurately ...

UnitedHealth investors have another bitter pill to swallow, as the CMS said it was aggressively growing its audit team to suss out “fraud, waste and abuse.” ...

Medicare Advantage has become a system dominated by a handful of massive insurers who are gaming the rules for profit and ...

After years of legal battles, Mayor Adams’ administration got a green light from New York’s highest court Wednesday to shift ...

Mayor Adams announced Friday that his administration will not “at this time” shift the city government’s retired workforce ...

CVS Health is a company in transition, moving away from the old pharmacy chain to an integrated healthcare giant. Read more ...

Shares of Humana and other health insurers fell Thursday after the Centers for Medicare & Medicaid Services said it plans to take a more "aggressive" approach to auditing Medicare Advantage plans.

Medicare Advantage Plans Nationwide Rely on Inovalon’s End-to-End Quality and Risk Adjustment Software To Prepare for CMS ...

"While the Administration values the work that Medicare Advantage plans do, it is time CMS faithfully executes its duty to audit these plans and ensure they are billing the government accurately ...