Q1 earnings reports from major U.S. health insurers reveal volatile market dynamics driven by Medicare Advantage payment changes and diverse strategic challenges. Insight into implications for providers, payers, and policy.
Innovative Texas palliative care model leverages data analytics to reduce hospitalizations over 50%, enhancing outcomes and lowering costs for Medicare Advantage plans.
Federal court permits whistleblower FCA claims alleging improper Medicare Part C billing by UnitedHealthcare of Georgia, highlighting compliance scrutiny in Medicare Advantage billing.
With over 4 million Americans turning 65 in 2024, timely Medicare enrollment during the Initial Enrollment Period is critical to avoid penalties and optimize healthcare coverage. Learn key insights on navigating Medicare plans effectively.
The Medicare for All Act aims to expand Medicare to cover all Americans comprehensively, eliminating premiums and deductibles while addressing health care affordability and systemic inefficiencies.
House Republicans target Medicaid cuts and Medicaid expansion funding shifts to meet $1.5 trillion budget reduction goals, risking coverage for millions and stressing providers reliant on Medicaid funding.
Rodney L. Yentzer sentenced to 42 months for defrauding Medicare and Medicaid through unnecessary urine drug tests, resulting in multi-million dollar restitution. Case underscores insurance fraud risks in healthcare diagnostic billing.
Infinitus develops advanced voice AI agents that automate healthcare conversations, improving efficiency and compliance for payers and providers in the U.S. healthcare market.
Proposed federal cuts to Medicaid and Medicare threaten the financial sustainability of rural hospitals like Monadnock Community Hospital, impacting care delivery and staffing. Explore strategic responses and implications for healthcare reimbursement and compliance.
Explore CMS's FY 2026 proposed Medicare IPPS rule detailing hospital payment increases, uncompensated care funding, quality program updates, and regulatory streamlining affecting hospital reimbursement and compliance for 2025-26.
