On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released an Audit and Enforcement Report summarizing its annual Medicare Advantage (Part C) and Prescription Drug (Part D) program ...
A review by the Office of Inspector General has found little improvement in CMS’ reporting of adverse actions for providers since the OIG made a recommendation in 2010 to improve the reporting process ...
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CMS says states won't have to report childhood vaccination levels
Immunization quality measures shouldn't be used in payment arrangements, agency notes ...
Insurers offering Medicare Advantage and Medicare prescription drug plans were fined more money in the first four months of this year than in the past four years combined, according to a Healthcare ...
MedPage Today on MSN
UnitedHealth Upcoded Medicare Advantage Claims to Get More $$, Senate Report Says
"UHG appears to be gaming the system," says Sen. Chuck Grassley ...
A Senate report released Tuesday alleges that UnitedHealth Group is gaming the Medicare Advantage system to reap massive payments.
Days after a national report called on the Centers for Medicare & Medicaid Services to eliminate an antipsychotics quality measure because it limits access to treatment for some dementia patients, the ...
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