Impact of Medicaid and ACA Cuts on Rural U.S. Hospitals and Healthcare Services
Explore how recent Medicaid and ACA cuts threaten rural hospitals in the U.S., impacting healthcare access and financial sustainability for low-income communities.
DOJ Investigates UnitedHealth Medicare Payment Practices Amid Stock Decline
The DOJ is probing UnitedHealth Group's Medicare Advantage payment practices, with focus on diagnosis coding and compliance. The investigation involves FBI and HHS and impacts stock value amid healthcare sector scrutiny.
Senior Market Sales Acquires Giardini Medicare, Boosting Digital Medicare Marketing
Senior Market Sales acquires Michigan-based Giardini Medicare, enhancing digital Medicare education and marketing capabilities through social media.
Hospitals Face Financial Challenges Serving Medicare Inpatient Fee-for-Service Cases
Analysis reveals most hospitals lose money on Medicare inpatient fee-for-service cases, with stronger financial performance in for-profit versus not-for-profit and teaching hospitals due to cost and payment structures.
Financial Pressures Threaten Private Orthopedic Practices and Patient Access
Declining Medicaid and Medicare reimbursements strain private orthopedic practices, limiting patient access and prompting calls for policy reforms to support sustainability and equitable care.
CMS to Test AI-Driven Prior Authorization in Medicare Under WISeR Model
CMS launches WISeR model applying AI-driven prior authorization to Traditional Medicare, targeting fraud and waste with clinician oversight. Providers face operational and financial impacts.
DOJ Investigates UnitedHealth Group Over Medicare Advantage Billing Practices
The DOJ is investigating UnitedHealth Group for Medicare Advantage billing practices amid nationwide scrutiny on upcoding, prompting CMS to increase audits of plans and intensify fraud prevention efforts.
Operation Gold Rush Uncovers $10.6B Medicare Fraud Scheme Leveraging AI for Prevention
Operation Gold Rush exposes a $10.6 billion Medicare fraud scheme involving international crime rings and highlights the shift towards AI-driven proactive fraud prevention and enhanced Medicare data analytics.
Progressive Leverages Superman Partnership to Boost Accident Response Adoption
Progressive partners with DC Studios to promote its Accident Response feature through the Superman film release, blending pop culture and insurance technology for enhanced consumer engagement and growth.
Americans Spent $90B on Social Media Shopping, Sparking Buyer Regret and Fraud Concerns
U.S. consumers spent $90.6 billion on social media shopping last year, with high rates of buyer regret and reports of scams prompting calls for financial awareness and fraud prevention measures.