We now have a glimpse behind the curtain of how Medicare arrives at so-called maximum fair prices of prescription drugs it ...

Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.

Real world data (RWD), which is data from actual patient treatments, provides valuable information on safety and effectiveness of innovative ...

The renewal for the ninth straight year includes McKesson's latest measure for resolution of health-related social needs.

Overall Medicare Advantage plans denied 6.4% of prior authorization requests in 2023. Prior authorization was needed 1.8 ...

To file for reimbursement, school bus drivers are given a form that lists qualified students listed for the route in question ...

Senator Richard Blumenthal said Friday that what Musk is doing is an “information heist unparalleled in American history.” ...

If you rely on Social Security or Medicare or Medicaid, it's time to panic. If you care about your personal data, it's also ...

CMS did not specify what is wrong with the data and did not immediately respond to an interview request. Investors and insurance companies rely on these reports every January as indicators of how ...

The 2024 National Assessment of Educational Progress, known as the nation’s report card, showed CMS outperformed most other large urban districts in the country despite little change in most tested ...

Elon Musk's Department of Government Efficiency (DOGE) has gained access to key data systems within Health and Human Services, including Medicare and Medicaid records, as it looks for waste and fraud ...