UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...

UnitedHealth Group Inc. used “aggressive strategies” to maximize diagnoses and boost payments for patients on private ...

"One of the things we also learned about is that hospitals need other funding to make good use of these additional residency ...

A Senate report released Tuesday alleges that UnitedHealth Group is gaming the Medicare Advantage system to reap massive payments.

The Trump administration has released a new update on enrollment on the Affordable Care Act's exchanges, with signups lagging notably behind figures for the 2025 plan year. | The Trump administration ...

On September 24, 2024, OIG released a report recommending that CMS exercise additional oversight of remote patient monitoring (RPM) services provided to Medicare beneficiaries. Medicare reimburses RPM ...

The Centers for Medicare and Medicaid Services (CMS) no longer will require states to report childhood and adolescent ...

In the letter, CMS announced that the Child and Adult Core Set of Health Quality Measures for Medicaid and the Children's ...

The Centers for Medicaid and Medicare Services this week released a report on complaints and enforcement efforts concerning the Public Health Service Act, which includes the No Surprises Act. As of ...

CMS said Friday it plans to remove reporting about unsubstantiated complaints from Nursing Home Care Compare next month.