As CMS reins in Medicare Advantage payments and provider tensions rise, CFOs are rethinking MA strategy, risk exposure, and long-term financial alignment.
The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...
CodeScene introduces an AI framework, validated in production at loveholidays, showing when and where it's safe to implement AI coding assistants MALMÖ, Sweden, Jan. 28, 2026 /PRNewswire/ -- New ...
The Trump administration has taken a big step toward curbing Medicare Advantage overpayments, proposing a rule that would stamp out one strategy insurers use to inflate their members’ sicknesses to ...
Medicare beneficiaries can receive their benefits either through private plans, known as Medicare Advantage (MA) plans, or traditional Medicare. MA plans now cover more than half of all beneficiaries, ...
Type in your ZIP code above or search your county to see vaccination levels and the risk in your area. As measles has spread throughout the United States, with cases recently reaching a 33-year high, ...
SAN FRANCISCO, Jan. 14, 2026 /PRNewswire/ -- Kaiser Permanente (Kaiser) has agreed to pay $556 million to resolve False Claims Act litigation alleging improper Medicare Advantage risk-adjustment ...
The MarketWatch News Department was not involved in the creation of this content. Joint customers can improve coding accuracy, strengthen compliant submissions, and strengthen RAF integrity with ...
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