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.

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

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

Sen. Chuck Grassley, R-Iowa, chairman of the Senate Committee on the Judiciary, has released a majority staff report that claims UnitedHealth is gaming the Medicare Advantage system and turning risk ...

Over the last few years, there has been an uptick in Medicare billing privileges deactivations for failure to timely and fully update or revalidate Medicare enrollment information and respond to ...

Medicaid, one of the oldest forms of public assistance susceptible to scams, has long been a cash cow for Somali fraudsters seeking to profit from taxpayer-funded programming in Minnesota. Heightened ...

AUSTIN (Nexstar) — The Centers for Medicare and Medicaid Services (CMS) announced Monday it will send Texas $1.4 billion over the next five years to innovate and expand access to rural health care.

The necessary software updates for Medicare claims processing did not take effect until July 1, 2025, meaning implanting centers could not bill for procedures, stalling early adoption. Delayed Inspire ...