UnitedHealth faces structural margin compression, wage inflation, and regulatory headwinds, eroding its historical defensive ...

On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced plans to substantially increase both the pace and the scale of ...

Health insurers are on alert after the Centers for Medicare & Medicaid Services announced May 22 that it is immediately ...

Last week, I was flipping through the newly filed financial documents of AdventHealth, and the numbers hit me like an ...

New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member ...

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced significant changes in its risk adjustment data ...

JP Morgan analyst Lisa Gill reiterated her optimistic view on UnitedHealth Group Inc. (NYSE:UNH) despite the recent issues, ...

Shares of major U.S. healthcare firms came under pressure Wednesday following the Centers for Medicare and Medicaid Services’ ...

CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.

The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member ...