The prohibition abruptly expanded to include adults hours before the House passed the bill, escalating the crackdown on ...

The House GOP tax bill includes tax breaks primarily for the wealthy, and cuts to Medicaid and SNAP. "A lot of people will ...

New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member ...

The Centers for Medicare & Medicaid Services (CMS) revealed several updates to the ACO REACH program in 2026, though the ...

A provision in House Republicans’ “big, beautiful bill” passed Thursday would ban Medicaid from covering gender-affirming ...

The numbers appeared tied to estimates on the number of people who may be cut from Medicaid under U.S. President Donald Trump's "Big Beautiful Bill." ...

The U.S. House Energy and Commerce Committee advanced its portion of the fiscal year 2025 reconciliation bill, which includes ...

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced significant changes in its risk adjustment data ...

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving ...

Recent activity among lawmakers and federal agencies signal that the government may be poised to undertake meaningful legislative and ...

Two Illinois men charged in a $227 million Medicare fraud scheme involving bogus claims for COVID-19 test kits.

The report takes from HHS Secretary Robert F. Kennedy’s playbook, calling out rising autism rates, the vaccine schedule and ...