The marketing rules behind Medicare Advantage are about to get looser, benefitting brokers and agents that sell the ...
NEW YORK (AP) — The Trump administration will require all 50 states to explain their plans to revalidate some of their ...
The Centers for Medicare & Medicaid Services (CMS) is rolling out major 2026 reforms affecting provider enrollment, credentialing, payment systems, and Medicaid eligibility rules. Changes include ...
Prior authorization has become one of the clearest points where administrative complexity directly affects patient care. For ...
Forbes contributors publish independent expert analyses and insights. I am passionate about all things digital health. CMS is accelerating availability of Blue Button claims data and rolling out ...
Healthcare data continues to be a top target for cybercriminals. In June alone, two major breaches compromised over 13 million patient records. Now, a newly confirmed Medicare data breach has affected ...
On September 9, 2025, CMS issued a guidance letter on Section 71116 of the One Big Beautiful Bill Act, which became effective for Medicaid managed care rating periods beginning on or after July 4, ...
Contract enables integration of CLEAR1 to modernize account creation and recovery for Medicare beneficiaries and providers, strengthen fraud prevention, and advance the connected digital health ...
CMS proposes a 0.09% payment increase for MA and Part D, raising concerns about cost implications for insurers and beneficiaries. The proposal aims to improve payment accuracy and risk adjustment, ...
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