Federal prosecutors accused Harwood of $46 million in Medicare fraud.

The CMS has finalized first-of-their-kind standards for providers to share claims documentation electronically in an attempt to phase out the use of faxes and physical mail, but stopped short of ...

"The CMS pilot program could establish a federally supported cannabinoid treatment category before FDA botanical drug ...

The Trump administration has opened grant applications for a new model that aims to offer Medicare coverage to functional and lifestyle medicine providers. The Centers for Medicare & Medicaid Services ...

"As CMS Prepares to Launch the First Federal Cannabinoid Reimbursement Program, Industry Leaders Warn of a Dangerous Shift ...

CMS is sanctioning Elevance Health and plans to suspend enrollment into the insurer’s Medicare Advantage prescription drug plans, according to a Feb. 27 agency letter. The enrollment and ...

The White House said Monday afternoon that it will extend the deadline for drugmakers to apply for a new model that seeks to establish most-favored nation pricing in Medicaid. The Centers for Medicare ...

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also ...

The federal government plans to sanction Elevance — including by preventing its Medicare Advantage plans from enrolling any new members — for failing to comply with federal data submission ...

The Centers for Medicare and Medicaid Services is freezing enrollment in Elevance Health's Medicare Advantage-Prescription Drug Plans for alleged noncompliance with risk adjustment and data submission ...

The Indianapolis-based drugmaker is challenging a $183.7 million judgment in a case brought by a pharmacist who alleged Lilly made false claims about rebates to the federal Medicaid program.

Toni King is an author and columnist on Medicare, Social Security and long-term care issues. She has spent nearly 30 years as a top sales leader in the field. If you have a Medica ...