The powerful chairman of the Senate Judiciary Committee wants the Centers for Medicare and Medicaid Services to explain $125 million in overcharges by insurers.
Centers for Medicare & Medicaid Services Administrator Seema Verma will recuse herself from the agency’s decision-making on whether to approve Kentucky’s Medicaid waiver because she helped develop the proposal in her former job as a health policy consultant.
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
El Departamento de Justicia se ha unido a la demanda de un denunciante de California que acusa al gigante de seguros UnitedHealth Group de fraude en sus populares planes de salud de Medicare Advantage.
The woman set to run the federal Centers for Medicare & Medicaid Services told senators last week that maternity coverage should be optional in individual and small group plans. But other services could also be left on the cutting room floor.
The federal program paid $16 million in the first six months of 2016 to counsel 223,000 patients about treatment preferences in their last days.
La planificación familiar, Planned Parenthood y hasta el consumo de tabaco podrían verse rápidamente afectados por medidas que podría tomar el flamante secretario de Salud.
After a tough fight by Democrats, Senate Republicans confirmed Rep. Tom Price’s nomination to head the Department of Health and Human Services. He will have the authority to upend some current practices.
Many seniors are denied coverage because therapists mistakenly believe that they must be making improvements to qualify for coverage.
According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.
Acting CMS administrator Andy Slavitt is taking to social media to defend the Affordable Care Act from GOP dismantling.
Medicare overpaid five insurance plans by $128 million yet only recovered $3 million, audits show.
A study found that Medicare’s bundled payments model for joint replacement could save the government billions of dollars without harming patient care.
Federal officials provide details about a pilot project starting in June that will delay some consumers’ mid-year marketplace enrollment until they produce documentation proving eligibility.
The Centers for Medicare & Medicaid Innovation was charged by the health law with exploring payment reforms that could cut health care costs and possibly improve quality. But its future is hinged to whether GOP lawmakers see value in its work.
Seema Verma is a consultant who was Vice President-elect Mike Pence’s health policy advisor when he was governor of Indiana, playing a key role in Medicaid expansion in that state.
Low-income residents in poverty-stricken Clay County worry what will happen to their health care if Gov. Matt Bevin’s ambitions to overhaul the state’s Medicaid program go forward.
Some insurers have been allowed to move customers on the health law’s marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.
Enrolling in Medicare is confusing and mind-boggling if you don’t act at the right time and avoid costly mistakes.
The federal government’s first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.