Government documents show that federal regulators rarely warn plans that their networks of health providers are so skimpy ...

A federal watchdog said Tuesday it has begun auditing nursing homes’ use of the Patient Driven Payment Model to drive skilled ...

Starting next year, millions of Medicare patients will face new hurdles to access medical care through a program targeting ...

Recently released research affirmed what skilled nursing operators know all too well: Medicare Advantage requirements are ...

SafeRide Health reports on non-emergency medical transportation (NEMT) as crucial for healthcare access, covering costs, ...

Directing payments to taxpayers would incentivize Americans to curb healthcare spending and would give them leverage with ...

Denmark-based Novo Nordisk, which makes Ozempic, Rybelsus and Wegovy; and Indianapolis-based Eli Lilly, which makes Zepbound, will agree to sell their drugs to Medicare at a lower “most ...

While the AHA has called on CMS to rethink its plan to add prior authorization requirements to traditional Medicare, some argue that the program is due for some utilization management.

A DHHS report found mental health providers listed by private insurers participating in Medicaid and Medicare are unreachable ...

According to the folks at Fidelity, a 65-year-old person retiring in 2025 can expect to spend $172,500, on average, on ...