Examining fraud in U.S. Medicare and Medicaid: shifting focus from patient eligibility to provider and insurer fraudulent practices amid congressional budget cuts and regulatory challenges.

Explore how Agentic AI is revolutionizing healthcare operations by reducing administrative burdens and enhancing real-time decision-making across U.S. health plans and providers, amid rising costs and regulatory pressures.

Proposed Medicaid budget cuts totaling $880 billion over a decade could reduce coverage for 11 million Americans and strain state health budgets, impacting rural hospitals and long-term care services.

CMS intensifies efforts to detect and prevent healthcare fraud, waste, and abuse in Medicare and Medicaid programs, encouraging stakeholder reporting to safeguard taxpayer funds.

Centene reports Q1 2025 financials highlighting 17% revenue growth, expanding membership to 27.9 million, and maintaining strong earnings outlook.

Pennsylvania Health Care Association and SEIU Healthcare PA collaborate to advocate for increased Medicaid and Medicare nursing home funding, addressing reimbursement and staffing challenges in long-term care facilities.

Explore how proposed Medicaid cuts and new legislative measures in Iowa impact healthcare, insurance claims, and regulatory compliance amid recent severe weather events.

The Johns Hopkins ACG System is a leading population health analytics tool used globally to improve care for over 250 million people weekly, integrating clinical and social data to advance health equity and risk adjustment.

Explore Medicaid and CHIP coverage rules for undocumented immigrants in the U.S., state-funded options, emergency care provisions, and impact on insurance eligibility across states.

Virginia's Medicaid expansion coverage is at risk due to proposed Republican-supported federal budget cuts, threatening healthcare access for nearly 630,000 residents and impacting local healthcare systems.