Four pharmacists were sentenced after investigation of $13 million in losses to Medicare, Medicaid and Blue Cross.

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

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

"We are taking a thoughtful approach to see where there may be opportunities for more effective and efficient use of ...

Medicare provides essential health coverage for millions, but certain circumstances can lead to a loss of eligibility. With ...

Improper payments by the Health and Human Services Department have decreased since 2021, but some programs have seen ...

AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of ...

Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.

Rural hospitals are pushing for exemptions from potential changes to federal policy that may limit Medicaid or Medicare funding.

I love fresh juice in the morning, especially over ice. The problem was that the ice would start to melt and water down the ...

The Gerrish Township Police Department in Roscommon County is passing along a scam alert regarding Medicare cards.The de ...

The former U.S. secretary of veterans affairs says some Medicare Advantage plans are charging for services already covered by the Veterans Health Administration.