The insurer turns risk adjustment into its own business, says Sen. Chuck Grassley, chairman of the Senate Committee on the Judiciary.

Perched on the tranquil shores of Bowers Harbor along the picturesque Old Mission Peninsula, The Boathouse Restaurant stands ...

Penguin Ai, a healthcare artificial intelligence company, announced today the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution on Snowflake Marketplace. The ...

The decision to fund 400 new medical residency positions at hospitals across the U.S. marks a meaningful -- though limited -- step toward addressing a looming physician shortage expected to worsen ...

Medicare isn't a "set it and forget it" program. Coverage that worked well one year may not be so great in others. Changes to premiums, plan rules, and out-of-pocket costs can stealthily chip away at ...

Immunotherapy-based combinations have rapidly become the dominant first-line treatment for advanced hepatocellular carcinoma (HCC), but real-world outcomes remain heavily constrained by liver function ...

Some Medicare enrollees may soon be able to access super-popular drugs for obesity under a voluntary model program, the Centers for Medicare and Medicaid Services announced Tuesday. Eligible ...

Medicare beneficiaries will see major updates in the new year as Medicare.gov transitions to use ID.me and CLEAR. The new ID tools will used to verify recipients’ identity online following major ...

Medicare eligibility generally begins at 65. You may want to delay your enrollment if you have great health insurance through a job. Even though Part A is usually free, you may want to wait if it bars ...

The GUARD Model targets Medicare Part D outpatient drugs, adjusting rebates based on prices in comparable countries, starting January 2027. The GLOBE Model applies to certain Medicare Part B drugs, ...

The Centers for Medicare & Medicaid Services (CMS) has formed a new office to manage its rural health transformation initiatives. According to a notice posted Friday to the Federal Register, the ...