The investment will expand the availability of Medicare services. The Australian government is investing more than $322m ...

Humana must face a class action lawsuit alleging that its use of artificial intelligence to deny post-acute care to Medicaid Advantage beneficiaries became fraud when those automated decisions ...

Five states that used payroll subsidies to drive nursing home staffing increases succeeded, but they also saw nursing homes fill more of their beds with Medicare patients during the same period.

The WISeR model introduces AI-based prior authorization, aiming to reduce fraud and unnecessary care. Congress and CMS are ...

By Quentin Fottrell 'I learned a long time ago that I could only rely on myself' "I was psychologically abused, emotionally neglected, and I did not have access to routine medical ...

The proposed Physician Fee Schedule (PFS) recently released by the Centers for Medicare & Medicaid Services (CMS) appears to ...

Trump administration expands efforts to prevent illegal immigrants from receiving public health benefits through a new initiative that establishes monthly verification.

Medicare rules and enrollment steps are changing, and staying informed is more important than ever. Benny Gomez, a Medicare ...

A new Medicare program covering services for at-home nursing care for dementia patients is rolling out across the country.

The Centers for Medicare & Medicaid Services today announced a nationwide initiative aimed at reinforcing eligibility ...

Elevance Health loses $375M bonus revenue as court upholds CMS's Medicare Advantage rating methodology. Read more here.