AHA has “substantial concerns” over the vendor payment structure in WISEeR that incentivizes denials at the expense of ...

The AI-powered prior auth requirements under the CMS' Wasteful and Inappropriate Service Reduction model would increase ...

When most people think about Medicaid, they focus on the financial component — income and asset limits that determine eligibility. For some ...

Advertisement Article continues below this ad Tension remained high in the commercial capital, Dar es Salaam, following three days of election protests. Gas stations and grocery shops were closed with ...

Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as being available to treat the plans' members, a new federal watchdog report says.

CHARLOTTE — A former tenant of one of Cedric Dean’s properties says she was required to give her and her children’s Medicaid information in order to stay at his hotel. Federal investigators say Dean ...

COLUMBUS, Ohio (WDTN) – Two people from the Miami Valley have been caught in a statewide sweep of Medicaid providers who have been accused of fraudulent billing. The Medicaid Fraud Control Unit, part ...

A court record filed on Thursday by federal prosecutors says that Charlotte activist Cedric Dean “obtained millions of dollars in fraud proceeds” through a healthcare scheme. Federal agents raided ...

North Carolina health officials said Tuesday that they continue to explore ways to save money for the state’s Medicaid program amid state budget constraints and looming cuts from the federal ...

Missouri's state revenues are currently flat, falling short of the official forecast and raising concerns about a future budget shortfall. The state faces over $1 billion in new spending demands, ...

Federal law requires hospitals to provide emergency care to everyone, regardless of insurance or immigration status. Federal and state governments reimburse hospitals for emergency care provided to ...

Your Medicare, Medicaid or Affordable Care Act coverage won’t vanish during the government shutdown, but changes to some benefits and fewer government workers to help could still disrupt care for ...