Rampant Medicare fraud schemes in Los Angeles allegedly bilk taxpayers for billions through fake home health agencies and ghost patients across the city.

A new analysis of Medicare data shows mental health specialists who embraced telehealth did not see substantially more rural ...

The One Big Beautiful Bill Act (OBBBA) included important reforms to limit states’ costly use of State Directed Payments ...

About 82% of public Medicare Advantage rate comments reflect a letter from a dark money group, per KFF Health News analysis.

This year, the federal government is expected to pay 14% more to cover people in a Medicare Advantage plan than if those same people were enrolled in traditional Medicare, resulting in $76 billion in ...

Los Angeles County reportedly has roughly 1,800 hospice providers with 742 companies allegedly showing indicators for fraud as defined by California.

Medicare's 2025 APCM billing update pays primary care physicians a monthly per-patient fee for care management; no ...

For those wondering how to effectively establish and scale a hospital-at-home program, these hospitals and health systems have already paved the way and can serve as examples for other providers ...

What appeared to be a surge of grassroots support for higher Medicare Advantage payments was actually driven by a pro-industry group.

The statewide organization at the center of the project, OneCare Vermont, was expensive to launch and operate. Now legislators are trying to reimagine pieces of the program for primary care.

Objective: To determine whether industry payments to cardiologists are associated with Medicare beneficiary spending, as financial incentives may influence clinical deci ...

The agency plans to introduce AI agents to help Medicare beneficiaries find doctors and health plans, a challenge given many enrollees don’t yet trust the tools, CMS Administrator Dr. Mehmet Oz said ...