Humana has lost a second lawsuit aiming to challenge the star ratings in Medicare Advantage (MA). | Humana has lost a second ...

Hospitals performed over 200,000 unnecessary back surgeries on older adults over a three-year period, and billed Medicare ...

Verily is deepening its partnerships with health systems and academic medical institutions to power biomedical research. | ...

A North Carolina program incentivizing hospitals to relieve patients’ medical debts has cut more than $6.5 billion in accrued debts for more than 2.5 million people since launching last summer. | The ...

California Gov. Gavin Newsom signed into law legislation aimed at "reining in" pharmacy benefit managers, becoming the latest ...

How smarter, EMR-integrated ePA eliminates noise, speeds resolution, and sets the stage for touchless prior authorization.

The top senator on healthcare policy is taking a hard look at the American Medical Association’s “anti-patient and ...

Changes to prior authorization, charity care screening and corporate influence in medicine are on the way for Californian healthcare organizations. | Several bills signed this week by Gov. Gavin ...

The U.S. healthcare system depends on extensive data exchanges between payers, providers and stakeholders. Therefore, it's crucial that clearinghouses, which serve as the administrative backbone ...

With RADV audits becoming a matter of when and not if, Medicare Advantage plans should take proactive steps to prepare for audits. Plan how your health plan can be prepared with this comprehensive ...

Explore key elements of the CMS Health Equity Index, discuss innovative solutions to reducing disparities within socioeconomically disadvantaged groups, and explore how the right incentives and ...

Explore key elements of the CMS Health Equity Index, with an important look at the latest solutions for reducing disparities within socioeconomically disadvantaged groups, and how the RIGHT incentives ...