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A recent court ruling in favor of Clover Health is leading the feds to recalculate Medicare Advantage's star ratings for 2026, and analysts at Capstone warn that this "foreshadows [a] volatile dire | A recent court ruling in favor of Clover Health is leading the feds to recalculate Medicare Advantage's star ratings for 2026, and analysts at Capstone warn that this "foreshadows [a] volatile direction" for the program.
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The Centers for Medicare and Medicaid Services (CMS) has locked in tighter oversight of accrediting organizations’ alignment with…

Beneficiaries face a series of complex decisions in enrolling in Medicare coverage, and a key federal panel outlines some of the…

Alongside their annual criticisms of the Centers for Medicare and Medicaid Services’ annual pay rate increase for inpatient care,…

Just hours after the Trump administration announced action against fraud in the hospice and home health spaces, Vice President JD…

A new federal watchdog report dings the three largest Medicare Advantage insurers for frequent prior authorization denials for…

In response to recent and upcoming Medicaid policy changes, CalOptima Health said it is tapping nearly $430 million of its…