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Modern Healthcare1 lá
AI health risk assessments aim to boost Medicare Advantage pay
Automated health risk assessments powered by artificial intelligence are the latest tool to maximize Medicare Advantage ...
Democrats Urge GOP To Target Medicare Advantage 'Upcoding' Instead Of Medicaid Cuts, Calling Budget Plan A 'Man-Made Disaster'
Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle ...
Medicare Update: What Trump's New Budget Request Says About Program
The administration plans to "eliminate funding that had been used to carry out non-statutory, wasteful and woke activities." ...
Trump DOJ Sues Insurance Giants Over Alleged Medicare 'Kickbacks' Scheme
The lawsuit accuses three insurance giants of paying out hundreds of millions in "illegal kickbacks" in a Medicare Advantage ...
JD Supra4 lá
CMS’s 2026 Final Medicare Advantage Rule Focuses on Implementing the IRA and Deregulation
Medicare Advantage and Part D Final Rule (Final Rule). With CMS releasing the 2026 Medicare Advantage and Part D Proposed ...
American Hospital Association7 lá
CMS leaders share insights on deregulation, Medicare Advantage oversight
Leaders from the Centers for Medicare & Medicaid Services at the 2025 AHA Annual Membership Meeting May 5 discussed issues on ...
AI in Healthcare Is Booming. But the FDA’s New Moves Suggest It’s Just Getting Started
As hospitals race to adopt AI tools across diagnostics, imaging, and clinical workflows, regulators are finally catching up—creating a clearer path for innovation, investment, a ...
Aetna, Humana sued by feds over alleged Medicare kickback scheme
The insurers engaged in a vast kickback scheme with insurance brokers eHealth, GoHealth and SelectQuote from 2016 to 2021, ...