Attorneys general from Massachusetts, Connecticut, Oklahoma and Indiana have filed a lawsuit against CVS Health claiming that it submitted “false and fraudulent claims” to state Medicaid programs.
The AGs say CVS Health charged these programs higher pr…
The Centers for Medicare and Medicaid Services has rejected an appeal from Humana to improve the latter’s Medicare Advantage star ratings, which could cost the insurer significant revenue in 2026.
On April 15, Humana and American for Beneficiary Choice…
The Centers for Medicare and Medicaid Services has signaled plans to make cuts to the Medicaid program, saying it wants to put an end to “mounting expenditures,” such as housekeeping for non-Medicaid-eligible individuals, and high-speed internet for ru…
The chairman and the ranking member of a Senate subcommittee have asked Health and Human Services Secretary Robert F. Kennedy Jr. to participate in a hearing on the reorganization of HHS, but Kennedy, reportedly, will not appear.
The Senate Finance Committee on Tuesday advanced Dr. Mehmet Oz’s nomination to become administrator of the Centers for Medicare and Medicaid Services.
The 14 to 13 vote was along party lines. Oz next faces a vote for confirmation before the full Senate
The Center for Medicare and Medicaid Innovation (CMMI) is planning on ending four payment models by the end of the year in a bid to achieve a projected $750 million in savings, though the agency did not say where the savings would take place.
The Center for Medicare and Medicaid Innovation (CMMI) is planning on ending four payment models by the end of the year in a bid to achieve a projected $750 million in savings, though the agency did not say where the savings would take place.
Cutting Medicaid funding and halting the program’s expansion would result in providers revenues decreasing by about $80 billion, and uncompensated care on behalf of uninsured people would increase by $18.9 billion in 2026 due to declines in health insu…
Four years ago, the Biden administration rolled back a controversial rule that required Medicaid beneficiaries to work in order to receive coverage.
Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023, reflecting steady increases over the past few years as the number of MA enrollees has grown, according to a new KFF analysis.
