On January 1,the Centers for Medicare & Medicaid Services (CMS) launched their new Transforming Episode Accountability Model ...

CMS has launched the BALANCE Model, a five-year test to lower costs & expand Medicare access to GLP-1 weight-loss drugs while ...

Health care analyst Ellen Andrews says Connecticut residents give the quality of their healthcare a C+, and two-thirds of us believe we aren’t getting what we pay for. We desperately need reforms to ...

By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. Our news editors obtained a quote from the research from Case Western Reserve ...

Medicare enrollees in Texas will soon be required to get prior authorization for certain medical services – and artificial intelligence will play a central role in those decisions. Beginning Jan. 1, a ...

The CMS star ratings began as faint points of light helping patients navigate an increasingly complex galaxy of healthcare options. But over time, those points of light became financial Novas, ...

A new Medicare pilot program using artificial intelligence to review claims is launching in six states, including Arizona. Critics, including some members of Congress, worry the program will lead to ...

DAYTON, Ohio, Oct. 14, 2025 /PRNewswire/ -- CareSource Ohio has been awarded a rating of 4.5 out of 5 stars by the Centers for Medicare & Medicaid Services (CMS) for the quality of its Dual Eligible ...

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During a regular office visit, one of Dr. Nancy Keating’s patients mentioned that a UnitedHealth Group representative had recently dropped by her home. The sixty-something patient belonged to a ...