Browsing Tag
Centers for Medicare and Medicaid Services
8 posts
Why California’s healthcare fraud crackdown could become a major political test
Find out how California’s healthcare fraud crackdown could reshape taxpayer oversight, Medicaid scrutiny and political accountability today!
MedeAnalytics expands enterprise analytics as health plans face Medicare Advantage and employer cost squeeze
Medicare Advantage pressure is rising. See why MedeAnalytics is turning payer analytics into a performance-control contest.
UnitedHealth (UNH) unit sued by Massachusetts over alleged $100m MassHealth upcoding scheme
Massachusetts is suing a UnitedHealth unit over an alleged $100M MassHealth upcoding scheme. UNH calls it meritless, but the precedent risk is the real story.
Why Nebraska’s Medicaid work requirements rollout is now a national test case
Nebraska moved first on Medicaid work rules. The real test is whether eligibility systems can protect coverage while enforcing compliance.
How opioid reduction strategies are driving cost savings in orthopedic surgery pathways
Find out how Pacira BioSciences, Inc. is using EXPAREL data to drive opioid reduction and cost savings in Medicare orthopedic surgery pathways.
PainChek just unlocked US Medicare reimbursement. Here’s what the ASX: PCK bull case looks like now
PainChek (ASX: PCK) has FDA clearance and a 30,000-bed US pipeline. Here's what the RTM reimbursement pathway means for retail investors watching PCK.
UnitedHealth Group (NYSE: UNH) faces April 21 earnings test after CMS win
UNH shares up ~10% after CMS finalises a 2.48% 2027 Medicare Advantage rate hike. Here is what retail investors need to know before April 21 earnings.
Will UroGen Pharma’s reimbursement tailwind in 2026 turn ZUSDURI into a category-defining cancer therapy?
UroGen Pharma sets $1B peak sales goal for ZUSDURI as permanent J-code from 2026 is expected to drive widespread adoption in outpatient urology settings.