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The idea is part of the conservative Project 2025 policy.
A whistleblower, a former Aetna risk-adjustment coding auditor, will receive $2 million.
Healthcare is one of the few areas where technology adds time, says Dr. Brian Silverstein of Innovaccer.
CFO Mark Kaye will expand responsibilities as executive vice president as Carelon President Peter D. Haytaian transitions to an advisory role.
Close to 45% of payments flow through value-based models, with 28.7% in downside risk, according to AHIP survey.
The AI assistant offers personalized answers to members’ health benefit questions.
Partnerships can help resolve the complexity and variability of health systems, says Andrew Albano, Jr., who is speaking at HIMSS26.
DOJ had alleged that the Kaiser affiliates violated the False Claims Act by submitting invalid diagnosis codes to get higher government payments.
The “Great Healthcare Plan” promotes a cost-sharing reduction program to cut premiums in the ACA.
The longer duration, along with improved benchmarks and risk adjustment, is expected to attract a broader range of ACOs.
