How will the Idaho Legislature cut the Medicaid budget? Likely disability services, lawmakers say.

The Idaho Legislature’s plans to cut nearly $22 million from Medicaid disability services hit a road block Monday. Now, ...

Fishing Point Healthcare pauses services for Medicaid patients

The clinic said it will pause services for Medicaid patients beginning April 15, citing a lack of payment on past claims from ...

The Window to Change Your Medicare Advantage Plan Is Quickly Closing. Here's What You Need to Know.

While you still have a little time to drop your current Medicare Advantage plan and pick a new one, make sure to choose your ...

AI Will Now Determine if Medicare Covers This Care

Access to healthcare is critical for retirees who often begin to develop age-related health issues. Medicare provides ...

Broader emergency Medicaid for immigrants without legal status could be approved in CT

A chief objection to the proposed expansion of emergency Medicaid coverage is that state would have pay 100% of the ...

As Medicaid costs rise, should Colorado charge fees on large employers that don’t insure all workers?

We can’t afford to subsidize Walmart and Target and Amazon off the backs of our taxpayers,” said Rep. Lisa Feret, an Arvada ...
Opinion
Committee for a Responsible Federal BudgetOpinion

Medicare Advantage in the Hot Seat

Recent actions from the Centers for Medicare & Medicaid Services (CMS) could help reduce the estimated $1.3 trillion in Medicare Advantage (MA) overpayments projected over the next decade.
Opinion
The Grand Junction Daily SentinelOpinion

Medicare Advantage needs backers willing to make sure it works

That’s why I’m deeply concerned about the proposed Medicare Advantage rate for next year. By failing to account for the true cost of providing care, particularly in rural communities, the CMS’s ...

Feds approve state efforts to meet anti-fraud requirements on Medicaid

The Centers for Medicare and Medicaid Services has approved Minnesota’s “corrective action plan” on fraud, the state’s Human Services department announced Friday.

Medicare’s AI bet hits turbulence

This is a test of whether traditional Medicare can adopt the kind of utilization management long used by the private insurers that run Medicare Advantage plans — and whether AI companies can help the ...

'This happens all the time': Nashville couple hit not once but twice by medical fraud — what to know about 'rampant' Medicare scams targeting retirees

The west Nashville retiree and his wife had been billed through their Medicare supplemental insurance for genetic testing ...
Fierce Healthcare

Oz escalates Medicaid fraud claims against states after focus on Minnesota

The Trump administration has signaled a willingness to halt billions of dollars in federal health payments to multiple states, mirroring moves they made against Minnesota. | Centers for Medicare & ...