Advanced Analytics, AI, and Automation Become Essential as Payers Face Increased Scrutiny on Risk Adjustment Accuracy and Financial Performance NEW YORK CITY, NY / ACCESS Newswire / June 1, 2025 / As ...

"My impression is that Bobby's comments were misinterpreted. He supports academic freedom also," NIH Director Bhattacharya says in response to portrayal that Secretary Kennedy undermined him.

KANSAS CITY, Mo. (KCTV) - A Kansas City man pleaded guilty to defrauding Medicare by billing millions in claims for unnecessary tests. According to court documents, Jamie P. McNamara, 49, of Kansas ...

The nursing home sector is undergoing a significant transformation in real time, driven by a recognition that the traditional ...

The U.S. Centers for Medicare & Medicaid Services announced plans to increase the scrutiny of Medicaid spending to prevent ...

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What Happened? Shares of health insurance company Humana (NYSE:HUM) fell 6.5% in the afternoon session after the Centers for ...

Why it matters: As the largest Medicare Advantage insurer that may have been more aggressive than peers in risk assessments, ...

Humana maintains a healthy balance sheet, in our opinion. Most of its cash and investments ($24 billion as of mid-2024) is held at its subsidiaries, though, and the company aims to hold about $500 ...

The Trump administration plans to expand government audits of private Medicare health plans, adding more scrutiny to an ...