Business Intelligence
2026 will be the fourth consecutive year of elevated health benefit cost growth following a decade of moderate increases.
Simplify HCC coding to prevent "gaming" of system, says Alliance of Community Health Plans.
The move bucks a current trend of MA providers exiting certain markets, such as Centene and UnitedHealthcare.
The group said recent developments at the CDC raise questions about the agency’s stability and independence.
Evernorth said the goal is to enhance continuity of care across specialty healthcare settings.
PBMs’ overseas group purchasing organizations may be used to avoid transparency and oversight, committee says.
The nursing home’s severe understaffing, a result of financial fraud, led to several patient deaths, the New York AG finds.
The virtual care program will try to reduce 30-day readmissions for heart failure patients.
The merger is intended to lower the cost of specialty medications and high-cost drug classes like GLP-1s.
MA pays 10% to 15% less than what the government pays in traditional Medicare, report says.