Mark Sanders, CEO of Superior HealthPlan, was fired after admitting to hiring private investigators to spy on customers during a Texas legislative hearing. Centene, the parent company, is under investigation for potentially illegal practices.

Concerns rise as proposed Medicaid cuts threaten essential healthcare services for families in Nevada. Kristy Burley-Evans shares her fears as lawmakers debate the future of the program.

An overview of the upcoming Medicare 2026 proposed payment regulations by CMS and their potential impact on healthcare policies and payment systems.

Aetna pauses proposed CPAP reimbursement changes amid concerns from AAHomecare about patient care disruptions.

Healthcare providers in Koreatown and Northridge settle for over $62 million for fraudulently increasing Medicare payments through false diagnosis codes.

Explore Medicare's coverage options for weight loss services, including eligibility for obesity screening and behavioral therapy. Find out what's included and what isn't.

HCSC has acquired Cigna's Medicare operations for $3.3 billion, impacting healthcare insurance market dynamics.

A nurse was arrested for allegedly poisoning her friend with insulin to gain access to a life insurance policy valued at $1.5 million. The details unveil a tragic relationship manipulation based on financial motives.

CMS encourages integrated care for Medicaid and Medicare beneficiaries to improve care coordination and reduce administrative burdens.

Sompo Holdings is using AI to combat Japan's nursing care worker shortage amid an aging population.