Healthworx, the investment arm of CareFirst, Inc., invests in RAAPID, signaling a massive market shift toward "Audit-First" ...

A higher-than-expected Medicare Advantage payment increase for 2027 is offering short-term relief for insurers, but experts ...

Reveleer, a leading provider of AI-enabled solutions empowering data-driven health plan performance, today announced the launch of Clinical Data Repository, a centralized, AI-enabled clinical data ...

The increase, far above a near-flat January proposal, adds more than $13 billion in payments to Medicare Advantage plans ...

CMS rate hikes offer brief relief as medical costs and Optum/DOJ headwinds pressure margins. Click for this UNH update.

The Centers for Medicare & Medicaid Services (CMS) has set a net average increase of 2.48% for Medicare Advantage plans in calendar year 2027, representing more than $13 billion in additional ...

The increase balances short-term stability and long-term sustainability, says Medicare chi ...

CMS hikes Medicare Advantage payments by 2.48% for 2027, raising rates and updating risk adjustment and Part D deductible policies.

Medicare Advantage insurers are getting a 2.48% payment increase for 2027, which is more than the .09% increase proposed in the January Advance Notice. The final policies in the 2027 rate announcement ...

"Penguin Ai's Snowflake Native Apps help customers turn healthcare data into automated action," said Fawad Butt, CEO, Penguin Ai. "By bringing prior authorization and medical coding intelligence ...

Medical coding is the foundation of how healthcare systems understand themselves. There is a code for being struck by a duck ...