ニュース

Modern Healthcare1 日
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 ...
‘They don’t even read it’: This woman’s had heaps of insurance claims denied ...
TNM says it reached out to Cigna, Humana and UnitedHealth Group for comment. UnitedHealth stated that “claims that we use an ...
JD Supra3 日
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 ...
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 ...
American Hospital Association7 日
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 ...
Democrats Urge GOP To Target Medicare Advantage 'Upcoding' Instead Of Medicaid Cuts ...
Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle ...
Healthline4 日
Original Medicare (Parts A and B) vs. Medicare Advantage (Part C)
Original Medicare and Medicare Advantage (Part C) cover hospitalization, medical appointments, and other healthcare costs. Original Medicare is government-run, while Medicare Advantage plans are ...
HealthLeaders Media3 日
Dems target Medicare Advantage, not Medicaid cuts, in Trump budget
As Republicans in Congress debate ways to cut Medicaid so they can fund tax breaks, Democrats are pushing them in a different direction: cut excess spending in Medicare Advantage instead.