HouseCalls has been accused of generating trumped up diagnoses to hike UnitedHealth’s Medicare reimbursement. But the review found almost 97% of diagnoses found in the home visits were backed up by ...

Ascension has agreed to snap up a regional health system in a deal worth almost $1 billion as the Catholic nonprofit giant continues to beef up its portfolio. On Monday, Franklin, Tenn.-based ...

Democrats are planning investigations into major healthcare topics if they win majorities in Congress this November.

Private equity firms are increasingly utilizing joint ventures with nonprofit health systems in order to expand their investments in the healthcare system, according to a new report. More than ...

Does AI hold up in retrospective risk adjustment once real customers put it to work? KLAS Research went and asked. RAAPID was ...

Sumit Rana’s departure could be a significant leadership shakeup for Epic, as the president was viewed as a potential ...

Founded in 2020, Transcarent says it aims to provide a one-stop shop for workers navigating their benefits, looking for providers and accessing healthcare services. The company is a unicorn, most ...

The health system is currently testing the agentic tool at two subsidiaries, with plans to roll out the technology at other locations in the future. As hype continues to grow around AI, health systems ...

The rule, released Thursday, builds on Trump administration’s priorities, including cutting Medicare reimbursement for drugs ...

Medicare is spending more on quality bonuses despite fewer enrollees in eligible plans, the health policy research group said — a concerning trend putting more stress on Medicare’s coffers that could ...

The letter to the CMS from Democrats is the latest salvo from lawmakers concerned that WISeR is delaying care to Medicare ...

To avoid losing funding, many states are pursuing proven cost-saving strategies like downsizing inpatient care rather than ...