Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...

Healthcare workers, billing specialists, and medical professionals frequently encounter fraudulent practices that drain billions of dollars ...

Community Care Cooperative (C3), the largest and most successful non-profit, FQHC-governed ACO in the country, is pleased to announce a major expansion with the addition of 10 Federally Qualified ...

The legislation may be getting a boost by the revelation that a state senator is struggling with mental decline.

As massive federal cuts are upending the health care system in California, analysts and health care professionals are urging ...

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An expert Q&A on the intersection of trusts and estates and elder law, highlighting important elder law issues that counsel should consider during the estate planning process.

During an investor call, UnitedHealth Group executives talk about the steps it has taken to increase transparency, use technology to reshape its healthcare delivery and address how it adapting to ...

Congress enacted the fiscal year 2026 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill, providing ...

This article examines major items that Original Medicare medical insurance doesn't cover.

TrumpRx costs may be as much as 80% less than normal listings, though actual savings may differ.

The 2026 Medicare ACO landscape features expanded participation, new models like LEAD, and a focus on advanced payment tracks ...