Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.

Aetna has agreed to pay $117.7 million to settle allegations that it submitted false or inaccurate diagnoses to juice Medicare Advantage payments. | Aetna has agreed to pay $117.7 million to settle ...

The settlement announced by the Department of Justice on Wednesday comes after federal regulators accused Aetna of submitting inaccurate data to the CMS.

Overpayments in Medicare Advantage (MA) plans led to higher premiums for the average Medicare enrollee, with $13.4 billion in added premium costs in 2025 alone, according to a bipartisan report from ...

(WHTM) — Health insurance company Aetna has agreed to pay over $117 million to Pennylvanians to resolve allegations that it violated the False Claims Act for profit, the Department of Justice said.

In its 2026 Physician Fee Schedule, CMS finalized a mandatory payment model that will begin Jan. 1, 2027, and hold certain outpatient specialists financially accountable for how they manage chronic ...

There are many ways to pay your Medicare bills: over the phone, by check or with Medicare Easy Pay—the option most financial experts prefer. Below we share why that is and how you can enroll in ...

Models that provide hybrid payments to primary care practices without adding financial risk are effective at supporting the ...

GoodRx, a platform for medication savings, outlines 10 things not covered by Medicare—and a few ways to pay for them.