LAS VEGAS—Federal health officials are taking a more aggressive, data-driven approach to combating healthcare fraud, using analytics and cross-agency collaboration to stop suspicious payments before ...

Add Yahoo as a preferred source to see more of our stories on Google. In July, the US Centers for Medicare & Medicaid Services (CMS) announced an ambitious plan to create a framework aimed at ...

Federal regulators are planning to suspend enrollment in Elevance's MA plans at the end of March, in a rare and serious threat to the company’s finances.

MedicAnalyze announces the launch of MedicAnalyze.com, a public data platform that analyzes and presents official U.S.

Elon Musk is touting the Department of Government Efficiency’s release of open-source Medicaid data as a transparency breakthrough. But prosecutors and privacy experts say converting online tips into ...

CMS suspend enrollment into Elevance Medicare Advantage plans starting March 31 due to noncompliance with risk adjustment data requirements.

More than 100,000 individuals may have been impacted by a "data incident" where unauthorized Medicare beneficiary accounts were made using their information. The Centers for Medicare & Medicaid ...

Government watchdog spending groups have a new opportunity to investigate Medicaid waste, fraud, and abuse – an “unprecedented” data drop by the U.S government.

The Centers for Medicare and Medicaid Services is notifying Medicare beneficiaries whose personal information may have been involved in a data incident affecting Medicare.gov accounts. CMS said it ...

CMS has finalized rules permitting designated organizations to share or sell claims data and analyses to providers, employers and other parties to use the information to improve care. The rule affects ...

The Centers for Medicare & Medicaid Services issued a final rule Monday for the release and use of Medicare claims data to qualified entities to measure the performance of Medicare providers under the ...

In July, the US Centers for Medicare & Medicaid Services (CMS) announced an ambitious plan to create a framework aimed at simplifying the exchange of healthcare data between patients and providers.