The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

Health insurer stocks fell early Thursday after the Centers for Medicare and Medicaid Services (CMS) said it would expand auditing efforts for Medicare Advantage in a crackdown on overpayments. Humana ...

After intense lobbying by insurers, U.S. health officials say changes to reduce overbilling in Medicare Advantage will be ... exploiting a formula to extract overpayments from the federal government.

Nursing home stakeholders remain cautiously optimistic regarding Medicare Advantage plan audits announced by the Centers for ...

Mehmet Oz attends his confirmation hearing with the Senate Finance Committee in the Dirksen Senate Office Building on March 14, 2025, in Washington, D.C.

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

WASHINGTON — President Trump declared Medicare off-limits several months ago, but Republicans are now considering ways to ...

Still, if these overpayments were the only problem with Medicare Advantage, giving the insurance firms a big haircut might fix the program’s defects. The problems, however, run deeper.

Federal officials resolved more than a decade ago to crack down on whopping government overpayments to private Medicare Advantage health insurance plans, which were siphoning off billions of tax ...

Medicare Dis-Advantage: Overpayments and Inequity The very “choice” that Medicare Advantage is said to offer is undermining Medicare’s promise of equal and universal care for seniors.