The insurer turns risk adjustment into its own business, says Sen. Chuck Grassley, chairman of the Senate Committee on the Judiciary.

Penguin Ai, a healthcare artificial intelligence company, announced today the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution on Snowflake Marketplace. The ...

Immunotherapy-based combinations have rapidly become the dominant first-line treatment for advanced hepatocellular carcinoma (HCC), but real-world outcomes remain heavily constrained by liver function ...

Some Medicare enrollees may soon be able to access super-popular drugs for obesity under a voluntary model program, the Centers for Medicare and Medicaid Services announced Tuesday. Eligible ...

CMS has unveiled the “Make America Healthy Again: Enhancing Lifestyle and Evaluating Value-based Approaches Through Evidence,” or Elevate, model, a voluntary initiative that will fund up to 30 chronic ...

A 100% service-connected disabled veteran receiving benefits from the Department of Veterans Affairs said he pays nothing for his medical care, dental, vision or prescriptions. So when he got his ...

Complaints about the calls have risen, and some older Americans have discovered that their Medicare accounts were already compromised. Steven Kurutz, 80, has been receiving up to 60 Medicare scam ...

Every year, millions of Americans navigate the complex world of Medicare enrollment, and every year, countless people make preventable mistakes that cost them money or leave them with inadequate ...

Whether you're nearing retirement or are years away, you're probably somewhat familiar with Medicare. You probably know that it's how millions of older Americans today get their health coverage, and ...

The Center for Medicare and Medicaid Services (CMS) Innovation Center has launched ACCESS, a model that expands access to technology-supported care for individuals on Original Medicare with obesity, ...

The Trump administration has negotiated lower prices for 15 widely used medications covered by Medicare, with the federal government saying the effort will cut spending on those drugs by 44%, or about ...

The federal government has announced the results of the latest round of Medicare drug price negotiations: 15 lower drug prices for Medicare to go into effect in 2027. Medicare will get a 71% discount ...