Latest News
Medicare Advantage penetration doesn’t translate to lower hospital margins: MedPAC
Dive Brief: Higher Medicare Advantage enrollment isn’t associated with a change in hospital margins, according to new research from congressional advi...
Mayo Clinic to close 6 clinics, consolidate service lines
Dive Brief: Mayo Clinic plans to close six of its clinics in Minnesota by Dec. 10 and reduce services at its Albert Lea hospital, the nonprofit provid...
Early Medicare Advantage stars data bodes well for UnitedHealth
Dive Brief: UnitedHealth expects to have roughly 78% of its Medicare Advantage enrollees in plans rated four stars or above next year, the healthcare...
Aetna, Optum settle ‘dummy codes’ case for $8.4M
Dive Brief: Aetna and Optum have finalized an almost $8.4 million class settlement over allegations that the two companies used so-called “dummy codes...
States unprepared to implement Medicaid work requirements: report
Dive Brief: More than half of states may be ill prepared to enact Medicaid work requirements as required by the One Big Beautiful Bill Act, according...
More than 600 Kaiser workers hold 1-day strike in Northern California
Dive Brief: More than 600 certified nurse midwives and certified registered nurse anesthetists employed by Kaiser Permanente held a one-day strike at...
House Republicans probe CVS for alleged HIPAA violation
Dive Brief: Two Republican congressmen are investigating CVS over concerns that the company used confidential patient information to lobby against a L...
Judge allows Epic antitrust suit to move forward
Dive Brief: A federal judge dismissed several claims in the high-profile antitrust lawsuit against electronic health record giant Epic on Friday, but...
Connectivity: The missing link in payment infrastructure
In healthcare payments, speed matters. Scale matters. But connection matters most. It’s not about sending a faster ACH — it’s about building the infra...
The single source of truth for member risk: Breaking risk adjustment’s speed-accuracy-ROI trilemma
Your members are sicker than your risk scores reflect. Not because diagnoses don't exist—they're buried under unstructured data across fragmented syst...
Medicare Advantage penetration doesn’t translate to lower hospital margins: MedPAC
Mayo Clinic to close 6 clinics, consolidate service lines
Early Medicare Advantage stars data bodes well for UnitedHealth
Aetna, Optum settle ‘dummy codes’ case for $8.4M
States unprepared to implement Medicaid work requirements: report
More than 600 Kaiser workers hold 1-day strike in Northern California
House Republicans probe CVS for alleged HIPAA violation
Judge allows Epic antitrust suit to move forward
Connectivity: The missing link in payment infrastructure
The single source of truth for member risk: Breaking risk adjustment’s speed-accuracy-ROI trilemma
Advertisement
300x250 Banner
Recent Content
COPD Biologics: Early Treatment Insights
Pulmonology • 2 hours ago
Antihypertensive Medication Guidelines
Cardiology • 4 hours ago
Juvenile Arthritis Care Transition
Rheumatology • 6 hours ago