The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.
The International Contrast Ultrasound Society (ICUS) today announced a handy new chart that may be used to guide coding and ...
The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...
New data suggest that faster sodium correction in severe hyponatremia may reduce mortality and delay neurologic events, ...
Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...
The Trump administration kicked off another round of Medicare drug price negotiations, while Kaiser Permanente agrees to pay ...
Incidence of psychotic disorders by birth cohort: a population-based cohort study in Ontario, Canada
Background: Previous reports have suggested that the incidence of psychotic disorders has either been stable or decreasing ...
HAMDEN, CT / ACCESS Newswire / January 22, 2026 / Not all AI in home health and hospice is created equal. Many AI solutions ...
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
Why AI built by clinicians who've walked in your shoes outperforms tech startups learning on the job HAMDEN, CT / ACCESS Newswire / January 22, 2026 / Not all AI in home health and hospice is created ...
Peter Mandelson is under criminal investigation after documents released by the US government appeared to show that he ...
Money Talks News on MSN
Insurer mined Medicare patient data for massive profits, report says -- how it costs taxpayers
An extensive review reveals what the nation's largest insurer reportedly did to prioritize revenue.
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