Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
The Trump administration has released proposed payment rates in Medicare Advantage and Part D for the 2027 plan year, ...
Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...
The Biden administration is proposing to increase Medicare Advantage (MA) and Part D plan payments by 1.03% for 2024 amid other changes to the programs’ risk adjustment model. The Centers for Medicare ...
George Witwer, CEO of Cavo Health Outperforms Machine Learning Tools with 96%+ HCC completeness, 2–4x Productivity Gains and Reduced Audit Risk Our platform delivers more accurate, audit-ready results ...
The MarketWatch News Department was not involved in the creation of this content. Joint customers can improve coding accuracy, strengthen compliant submissions, and strengthen RAF integrity with ...
The Alliance of Community Health Plans is calling out risk adjustment scores by larger insurers in Medicare Advantage plans. ACHP, an organization that advocates for smaller health plans, said the ...
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Report: UnitedHealth Group used 'aggressive tactics' in Medicare Advantage risk assessments
A Senate report accuses UnitedHealth Group of turning Medicare Advantage risk adjustments into a profit strategy.
By Sneha S K Jan 12 (Reuters) - Health insurer UnitedHealth Group used aggressive risk-adjustment coding tactics to increase ...
On January 14, the Department of Justice (DOJ) announced that five Kaiser Permanente affiliates agreed to pay $556 million to ...
Joint customers can improve coding accuracy, strengthen compliant submissions, and strengthen RAF integrity with Penguin Ai's HCC Coding & Risk Adjustment Snowflake Native App PALO ALTO, Calif., Jan.
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