This April will mark a decade since CMS launched the Comprehensive Care for Joint Replacement model, the federal government’s first mandatory, episode-based payment program applied broadly to ...

Our findings indicate that a large commercial insurer is increasingly covering acupuncture for its beneficiaries. Unlike Medicare Part B, which limits acupuncture coverage to chronic low back pain, ...

PC, PMHS, shares her thoughts on why pandemic-era telehealth flexibilities remain valuable for Medicare beneficiaries, avoiding the telehealth cliff.

The Consolidated Appropriations Act of 2026 gives CMS more leverage to intercept when pharmacy benefit managers are driving up prices in Medicare Part D, explains Jesse Dresser, Esq.

In his 2018 campaign for governor, Abdul El-Sayed attacked private health insurers in favor of a single, government-run public healthcare program.

For the second year in a row, Oregon lawmakers are considering a bill designed to tighten state oversight of the hospice industry, which has been rife with fraud and abuse.

Medical offices bill insurance providers for clients' services. Learn what's involved, including HIPAA regulations, what to ...

Medical billing and coding systems ensure that health providers get paid for their services. Learn the steps in medical billing and medical coding.

Two men allegedly paid illegal kickbacks and bribes and submitted claims for prescriptions and adult day care services that were never provided.

California has emerged an epicenter of health care fraud, specifically multimillion-dollar hospice scams operating out of Los ...

In the $1.2 trillion budget package signed Tuesday, a little-known healthcare provision was reauthorized that will allow ...

Rep. Greg Scott, D-Mongtomery, is pictured during a roundtable discussion in November. The fight over healthcare is coming to the state Legislature. A co-sponsorship memorandum filed by state Reps.