Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens ...

Humana shares jumped 11% in extended trading on Monday after the federal government said it would pay Medicare insurers more next year than previously expected. Monitor these key chart levels.

It noted lawsuits alleging that MA plans "are aware that diagnoses submitted to CMS are not supported by the medical chart and therefore violate Medicare's rules." While higher payments do fund MA ...

The following chart breaks down some of the basic costs in 2025 for these plans. Medicare Part A These plans are free if a person qualifies. Otherwise, it is up to $518 per month. Medicare Part B ...

Medicare Advantage plans used in-home health risk assessments and chart reviews to justify an estimated $7.5 billion in ...

Robert F. Kennedy Jr. is defending his plan to cut 10,000 jobs from the U.S. Department of Health and Human Services in hopes of streamlining a "sprawling" agency while staying focused on its core ...

More than 10,000 jobs are expected to be cut at the Department of Health and Human Services, which encompasses the Centers ...

Americans choose Medicare Advantage plans because they provide “better care at lower ... patient diagnoses based on in-home health risk assessments and HRA-linked chart reviews, a 2024 HHS OIG report ...

But, in total, private plans have never been paid less than FFS Medicare because of policies that increase ... differences include increased use of health risk assessments and chart reviews. In ...

During a day of widespread layoffs, NIH Director Jay Bhattacharya told employees he plans to "implement new policies humanely," while FDA Commissioner Marty Makary touted his "impeccable credentials" ...