A new coverage determination will prevent Medicare patients with certain cancers from accessing genetic testing, a move that advocates and testing companies say will severely limit early interventions ...

The federal government is wasting billions of taxpayer dollars — by pre-paying private Medicare Advantage insurers for care ...

Officials at Musk-led DOGE were given access to the inner workings of the Centers for Medicare and Medicaid Services (CMS), ...

Cate Martell reports: "We did see that, last week, President Trump did attempt to try to freeze all federal aid. He did most ...

Mark Shepard, a Harvard Kennedy School expert, looks at the crossroads facing the American health insurance system, a patched ...

Elon Musk’s Department of Government Efficiency has secured read-only access to the Centers for Medicare and Medicaid Services, which oversees health coverage for over 140 million Americans. According ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

A serial Medicaid fraudster was sentenced this week to prison for a $7 million scheme to bill federal health programs for fake medical exams. A state court judge sentenced Imran Shams, a 66-year-old ...

Elon Musk's Department of Government Efficiency (DOGE) has gained access to key systems within the Centers for Medicare and ...

Representatives of Elon Musk’s Department of Government Efficiency have been working at the Centers for Medicare and Medicaid ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

Herrera Scott, a former member of Medical Corps of the U.S. Army Reserve, was appointed to the job by Moore in early 2023 to ...