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.

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 ...

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

As GOP hardliners spent the weekend pushing party leaders to cut deeper into Medicaid in an effort to advance Donald Trump’s ...

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

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

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 ...

For this reason, a new proposal by the Royal Australian College of General Practitioners to extend bulk-billing incentives to under-35s is welcome. Under the plan, GPs would be offered an additional ...

Immigrants are vital to US tax revenue amid a declining birth rate and rising number of retirees.