Medicare Advantage markets remain highly concentrated across the U.S., according to the American Medical Association’s new ...

Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...

Sen. Chuck Grassley (R-Iowa) on Monday released the findings of his investigation into UnitedHealth Group’s (UHG) Medicare ...

UnitedHealth Group leveraged “aggressive strategies” to get higher-paying Medicare Advantage diagnoses, according to a Jan. 12 Senate report that Becker’s viewed. The Wall Street Journal initially ...

Two recent Department of Justice settlements with health care providers shine a new spotlight on a long-standing risk for health care fraud and abuse. Two recent Department of Justice settlements with ...

Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens of billions of dollars more than if traditional Medicare had covered the ...

UnitedHealth Group is again responding to a Wall Street Journal story about billing practices for its Medicare Advantage plan. The Department of Justice’s criminal healthcare-fraud unit is ...

Fee-for-service Medicare payments per beneficiary receiving care at ASCs rose sharply over the past year, increasing 13.1% from 2023 to 2024, according to MedPAC Medicare carrier claims data published ...

Prolia (denosumab) is a medication for osteoporosis. A healthcare professional administers Prolia via injection under the skin every 6 months. Medicare covers Prolia for beneficiaries. Since a ...