Medicare Advantage

Centene's CEO told analysts last month the Trump administration's support of invalidating the ACA shouldn't affect the health insurer's day-to-day...

Federal prosecutors allege that the Sacramento-based health system and its affiliates submitted unsupported diagnosis codes for patient encounters with Medicare...

The final policy also gives Medicare Advantage plans a 2.53% pay bump for fiscal year 2020, up from the 1.59%...

The move to private Medicare Advantage takes hospitals further away from fee-for-service medicine, putting pressure on these providers to improve...

The CMS proposal for 2020 would give plans more flexibility to cover supplemental benefits for people with chronic illnesses, including...

HHS is examining ways to modernize the Stark Law to provide patients with more care options without undermining the rule's...

The commission found that spending on ACO beneficiaries was about 1.2% below the benchmarks set in 2017, but they questioned...

The two voluntary initiatives will launch in 2020, and CMS Administrator Seema Verma called them 'prime examples' of modernized Medicare...

The early renewal of a four-year contract ensures that Humana's 21 million members will have in-network access to Tenet hospitals...

A robust job market bolstering employer-sponsored plans, Baby Boomers transitioning to Medicare Advantage, and ACA exchanges attracting new payers are...

The government's participation in the False Claims Act case demonstrates its commitment 'to hold healthcare providers responsible if they fail...

Humana's fifth annual value-based care study found that patients seen by physicians in value-based agreements had a 7% drop in...