The whistleblower, Christopher Bernardini, describes himself as a former “billing guru” of Gateway Community Services — a ...

SAINT PAUL, Minn. — The federal agency that runs Medicaid is threatening to withhold payments to Minnesota programs unless ...

The federal and state crackdowns on fraud in Minnesota are creating collateral damage in programs aimed at helping people ...

More than 85% of NUMC's patients are on government insurance, which pays less than private insurance, experts say ...

When a shy 9-year-old boy on TennCare sought braces to allow his right front tooth to grow in, TennCare refused to pay for it ...

Medicare's new pilot lets private companies use AI to review and deny care requests, raising concerns from doctors and ...

Seniors already get healthcare savings with Medicare, but following these tips can give their budgets even more of a boost ...

New research from the University of Minnesota School of Public Health provides the first detailed look at whether funding ...

Four years ago, New York state spent more money per resident on Medicaid, the joint-federal-state program for the poor and ...

With more than 50 years of experience supporting over 70 million Medicaid members nationwide, Gainwell brings unmatched scale and expertise to its state partners. As states face unprecedented change, ...

As the mental health crisis has increased demand for behavioral health services, Innovive Health has found its niche ...

In their competition for rural health care dollars from a new federal fund, states are seeking money to bolster emergency services, address chronic diseases, and recruit and train more doctors and ...