Trump administration officials have approved a Minnesota Department of Human Services plan to address fraud in state programs. It should free up hundreds of millions in Medicaid funding that the ...

Nearly a month ago, Vice President JD Vance announced a temporary pause on Medicaid funds to Minnesota over fraud concerns.

SYRACUSE, NY — Healthcare workers and leaders in Central New York are warning that services and jobs could be at risk if state lawmakers do not address a major Medicaid funding gap before the next ...

Medicaid beneficiaries may lose coverage if they fail to verify their address under new rules tied to H.R.1, with vulnerable ...

Medicare has implemented a new pilot program that requires preapproval for many treatments. The pilot program is currently ...

The Centers for Medicare and Medicaid Services (CMS) is set to roll out risk-based surveys on a more broad basis, with final ...

The Centers for Medicare and Medicaid Services (CMS) finalized a rule that aims to phase out fax machines and paper mailings for healthcare claims documentation. | CMS finalized a rule that aims to ...

Changes to Medicare in 2026 may limit coverage for certain services, making it essential for retirees to understand ...

The idea could be a major win for the health insurance industry, which has seen a crackdown on Medicare Advantage in recent years.

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 ...

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.

Black women in rural communities are increasingly at risk as obstetric services decline due to hospital closures and reduced Medicaid funding. Limited access to specialists, long travel distances and ...