Medicare Advantage overpayments and aggressive risk scoring are quietly increasing Part B costs and premiums for seniors.

RAAPID, Inc., an AI-powered risk adjustment company backed by M12 (Microsoft's venture fund) and recognized by Modern ...

Facility fees have become a controversial component of the reimbursement structure for ASCs as some advocates say they disincentivize patients from utilizing lower cost settings for surgical ...

Some Americans could face significant new health care affordability challenges shortly before the 2026 midterm elections. In January, the Centers for Medicare & Medicaid Services (CMS) proposed a ...

The Medicare Payment Advisory Committee (MedPAC) recommends updating payments above current law for physicians and other health care professional services.

VNS Health And Vitalic Release Early Findings From a Telehealth-Based Behavioral Health Program Targeting High-Risk ...

Hospitals and insurers are harnessing the power of artificial intelligence and other tech tools to protect their businesses.

Nyxoah (NASDAQ:NYXH) used its fourth-quarter and full-year 2025 earnings call to outline the first results from the U.S. launch of its Genio hypoglossal nerve stimulation system, discuss the evolving ...

Some Americans could face significant new health care affordability challenges shortly before the 2026 midterm elections. In ...

Other MA plans are downsizing, upset about coding changes and lobbying for higher rates. Alignment is growing and unbothered by the policy and payment fuss. CEO John Kao lays out how his company is ...

Aetna, the health insurer subsidiary of CVS Health, has agreed to pay $117.7 million to resolve allegations that it violated ...

You might not see this bill coming if you don't know the ins and outs of your annual free visit.