The Senate votes to confirm Mehmet Oz for Medicare and Medicaid, amidst concerns over potential budget cuts and their impact on healthcare access.

The DOJ is pressing forward with a lawsuit against UnitedHealth Group, challenging a special master’s report that found insufficient evidence against the health giant concerning Medicare Advantage payments.

Learn about new Medicare regulations affecting hospital status appeals, set to take effect in early 2025, and the implications for hospital finance management.

Blue Cross and Blue Shield of Illinois has updated its prior authorization requirements for Medicare Advantage and other plans. Learn about these changes and their implications.

Corey Alston pleads guilty to a Medicare fraud scheme involving over $8M in false claims for COVID-19 test kits, facing sentencing soon.

Explore the urgent need for reforms in Medicare to combat fraud, which costs taxpayers billions yearly.

A detailed investigation uncovers $50 billion in Medicare payments for unverified diagnoses made by insurers, raising concerns about Medicare Advantage practices.

Chiquita Brooks-LaSure highlights critical issues from cuts in HHS that threaten nursing home oversight, impacting care quality and enforcement.

Explore how the Inflation Reduction Act impacts Medicare beneficiaries' access and costs for prescription medications, including significant changes in formulary access and cost-sharing for 2025.

An overview of Medicare fraud and its impact on government expenditures, highlighting necessary reforms to curb improper payments.