A pilot program in six states will use a tactic employed by private insurers that has been heavily criticized for delaying and denying medical care.

Prior authorization is similar to how private insurers operate, often resulting in a delay or denial of treatments ...

There are two main ways to get coverage: either through original Medicare or Medicare Advantage. Open enrollment for traditional Medicare is Oct. 15 though Dec. 7. For people who have a Medicare ...

The report also sheds light on Medicare Advantage reimbursement. Medicare Advantage plans pay physicians an estimated 10% to ...

Medicare, the U.S. government-sponsored health insurance for seniors, offers numerous overlooked benefits crucial for ...

The OIG analyzed paid Medicare claims for acute-care hospital inpatient stays billed under Medicare's Inpatient Prospective ...

The court said an attempt to curtail payments for brokers was an overreach by the Centers for Medicare & Medicaid Services.

A Medicare data breach has compromised over 100,000 Americans' personal information, including Medicare IDs and healthcare details after cybercriminals created unauthorized accounts.

The personal information of more than 100,000 Medicare recipients may have been compromised in a recent "data incident," the Centers for Medicare & Medicaid Services said June 30. As a result ...

The public can learn more about what to watch for at medicare.gov/fraud. The $14 billion uncovered recently isn’t just a staggering number — it’s a symptom of systemic vulnerability.