Eli Lilly warns some Medicare plans may exceed the $50 monthly cap for weight‑loss drugs under a new CMS model.

Atlantic Health, a system of seven hospitals based in Morristown, New Jersey, has the accountable care organization, Atlantic ACO, and is also associated with the Optimus ACO and the Premier ACO for ...

EXCLUSIVE — The Centers for Medicare & Medicaid Services will testify before Congress this month on what steps the agency is taking to actively address healthcare fraud across the country, following ...

CMMI has spent more than a decade learning which organizations consistently deliver high-value care. The next step is to let ...

Medicare programs and policies can change each year, which means you’ll need to review all of your options before you enroll. If you’re new to Medicare, the health insurance landscape can seem even ...

The Trump administration launches fraud probe into New York's Medicaid program, citing alleged waste. Gov. Kathy Hochul has ...

Healthcare workers, billing specialists, and medical professionals frequently encounter fraudulent practices that drain billions of dollars from Medicare programs annually. Yet many individuals who ...

GoodRx, a platform for medication savings, outlines 10 things not covered by Medicare—and a few ways to pay for them.

New York is about to get the Oz treatment. Medicaid czar Dr. Mehmet Oz is turning up the heat on Gov. Kathy Hochul, launching ...

Weaponizing fraud and using it as a pretext to take funds away from states will destabilize their programs and ultimately take health care from people who can least afford it.

The One Big Beautiful Bill Act imposed Medicaid work requirements on low-income, single, childless adults who qualify for the program through the Affordable Care Act, often referred to as Obamacare.