While Centers for Medicare & Medicaid Services (CMS) has made improvements following previous recommendations from the Medicare Advisory Commission ...

Bipartisan support exists for site-neutral payment legislation, but the hospital industry's resistance remains a significant obstacle. Implementing site-neutral payments would provide substantial ...

Compared with traditional Medicare, Medicare Advantage plans are, on average, paid more by the taxpayer-funded Medicare system for covering each enrollee. Advantage plans also have more flexibility to ...

(THE CONVERSATION) Medicare Advantage – the commercial alternative to traditional Medicare – is drawing down federal health care funds, costing taxpayers an extra 22% per enrollee to the tune of US$83 ...

The Pacific Research Institute's Center for Medical Economics and Innovation today released a new issue brief warning that continued federal underpayment of doctors is fueling a looming healthcare ...

The findings of this cross-sectional study suggest substantial cost shifting in veterans' surgical care from Medicare Advantage to ...

The president made his thoughts on one provision clear and it could impact how Massachusetts and other states finance public health care.

The vast majority of diagnoses codes that CVS subsidiary Coventry submitted to the CMS between 2018 and 2019 weren’t ...

A Grattan Institute report has found one in five Australians have been charged an "extreme" specialist fee, as out-of-pocket ...

Hospitals that serve high volumes of Medicaid patients are voicing concern over a proposed rollback of a Medicaid payment policy enacted during President Donald Trump’s first term in the White House.

Specialist doctors that slug patients with excessive fees would be stripped of their Medicare funding and named and shamed under a bold new proposal to ensure Australians can access the care they ...