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Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
Longitude Health says it plans to invest in solutions to address healthcare's most complex challenges.
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points for CAHPS measures.
The contracts do not favor managed care organizations that participate in the state's provider networks, according to plaintiffs.
The company will be debuting new individual marketplace plans in Florida, Maryland and Texas beginning January 2025.
CHARLESTON, WV – Body mass index (BMI) trainings conducted in the three largest West Virginia cities were so successful that sponsor UniCare will expand the trainings to other regions in...
The Sullivan Group, a provider of risk management solutions for the healthcare industry, has announced an alliance with global insurance broker Willis Group Holdings of New York to pr...
WellPoint health ousts CFO over misconduct Top executives at WellPoint Health Networks Inc. have requested and received the resignation of David C. Colby, the company’s chief...
INDIANAPOLIS – WellPoint’s pharmacy benefit manager is offering financial incentive to its members in seven additional states for the latest generic-drug addition to its GenericSelect prog...
WASHINGTON – Standard business rules have been released by a collaborative organization to facilitate the data exchange process between providers and insurers. The rules w...