State Medicaid agencies can improve D-SNP financial transparency and reward those D-SNPs that provide the best value to states, the federal government, and taxpayers through strategic use of D-SNP medical loss ratio reporting.

CMS is facing employee firings, flagging morale, confusing messaging, and the specter of additional disruption.

When Donald Trump ran for a second presidential term, he promised he wouldn't make any Medicare cuts. He reiterated his commitment after returning to the Oval Office, recently telling Fox News host Sean Hannity that Medicare is not "going to be touched.

As original Medicare faces funding shortfalls, Dr. Oz may shift to private insurance providers through Medicare Advantage. Here's what we know so far.

Nearly three-quarters of adults 50 and older said they used telehealth services at least once in the past 12 months, according to a January 2024 AARP poll. Nine in 10 said they we

The Wall Street Journal reported that the U.S. Department of Justice is investigating Medicare Advantage billing practices at UnitedHealth Group, a development that the insurer disputes.

Former Centers for Medicare and Medicaid Services (CMS) administrator Chiquita Brooks-LaSure said she is concerned with the speed at which Elon Musk’s Department of Government Efficiency (DOGE) is

In February 2025, a rumor spread that Medicare would stop covering telehealth services — which allow patients to access health care remotely using digital technology — as of April 1, 2025.

Special Needs Plans boosted a sluggish Medicare Advantage market during the annual enrollment period for 2025, a Modern Healthcare analysis found.

Following an exhaustive literature search, researchers were unable to find compelling evidence that mandated sepsis treatment guidelines from the Centers for Medicare & Medicaid Services (CMS) were favorably associated with mortality.

To ensure physicians and healthcare facilities are paid correctly and consistently, payment guidelines are in place. RVUs form part of these guidelines. Read more.

Just over 34.4 million people were enrolled in Medicare Advantage (MA) plans as of Feb. 1, representing fairly slim growth across the program's annual enrollment period. | Just over 34.4 million people were enrolled in Medicare Advantage plans as of Feb.