The number of psychiatrists submitting more than 10 claims to Medicare Part B decreased by 16.8% from 2014 to 2022.

We now have a glimpse behind the curtain of how Medicare arrives at so-called maximum fair prices of prescription drugs it ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

Democratic lawmakers gathered outside the Social Security Administration headquarters to protest DOGE's potential probe of ...

Providers are sympathetic to Medicare enrollees’ concerns but don’t agree on their role in helping patients find less costly ...

Medicare beneficiaries often pay monthly premiums, copays, annual deductibles and prescription drug costs. But what you may ...

Unveiling the truth about healthcare profits: 95% of net income goes to shareholders, not improving healthcare services or ...

Alexandra Gehrke and Jeffrey King face up to 20 years in prison each for defrauding Medicare in a wound-care scheme.

In 2022, the Medicare Part B standard premium will increase from $148.50 to $170.10. This $21.60 increase (14.5%) is the largest since the Medicare program began in 1965 and much higher than was ...

Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.

Since expenditures are heavily skewed, the top 5 percent of patients by cost contribute a disproportionate amount to the mean ...

In 2025, seniors will pay less for 64 medications if they get them through Medicare Part B, which covers outpatient care, ...