The fraud scheme, one of the largest such busts in U.S. history, involved billions of dollars in false health-care claims and ...

After years of political debate and pressure from the pharmaceutical industry, a long-awaited reform has finally materialized ...

A U.S. federal judge has ordered CVS Caremark, the pharmacy benefits arm of CVS Health, to pay $95 million over allegations ...

From late penalties to premium reimbursements, here’s what every retired fed should understand about enrolling in Medicare ...

A federal judge ruled in favor of a whistleblower, finding CVS’ pharmacy benefit manager Caremark overbilled Medicare for ...

To develop interventions that can address the challenges highlighted by the National Health Expenditure projections, more granular information is needed across all payers in the US health sector.

Rather than waiting for stalled Congressional efforts to enact so-far elusive Medicare policy changes, states could pursue ...

The Medicare Payment Advisory Commission advised Congress that inflation is taking a bite out of physician pay and Medicare ...

IRA’s $2,000 out-of-pocket cap helps few; most won’t hit the threshold Insurers raise deductibles, replace flat co-pays with ...

When someone has both Medicare and Medicaid, Medicare is the primary payer for medical and acute care. Medicaid then kicks in to help with premiums and sometimes other supplemental benefits that ...