The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.

CMS proposes nearly flat Medicare Advantage payments for 2027, with a 0.09% increase and updated risk adjustment policies.

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released the Contract Year (CY) 2027 Medicare Advantage (MA) and Part D ...

Channel 9 has obtained an After Action Review from Charlotte-Mecklenburg Schools regarding mass shooting threats that were not initially communicated to parents. The review, dated February 25th, ...

The CMS has proposed several key changes for 2027, to make sure Medicare "works better for the people it serves." ...

CMS is seeking a contractor to build and maintain a website to streamline information from Medicare review programs on enforcement actions against Medicare providers. Currently, CMS uses a number of ...

The proposed 2027 Medicare Advantage payment update suggests a minimal 0.09% increase, affecting insurer stock prices and financial outlooks. Proposed Medicare Advantage payment updates spark concern ...

A new federal review from the U.S. Centers for Medicare & Medicaid Services shows Minnesota’s Medicaid program has an ...

DEARBORN, Mich., May 15, 2002 – CMS Energy Corp. on Wednesday reported the preliminary results of an internal review indicating its energy marketing unit, CMS Marketing, Services and Trading (CMS-MST) ...

Vast changes are swiftly approaching regarding the efforts Workers’ Compensation practitioners must make in protecting Medicare’s interests in future medical settlements. The Centers for ...

Review Finds Deficiencies in Kidney Transplant Program The UCIMC kidney transplant program accepted 8.7% of the kidney offers for its patients between July 2000 and June 2005, compared to median ...

The Wasteful and Inappropriate Service Reduction Model, or WISeR, is being tested in six states, including Oklahoma, starting ...