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In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle ...

Artificial intelligence models that are trained to behave badly on a narrow task may generalize this behavior across ...

The Justice Department claims some Kaiser health plans submitted invalid diagnostic codes to reap higher reimbursement from ...

A new study published in Therapeutic Innovation & Regulatory Science provides crucial insights into the design and ...

The Centers for Medicare & Medicaid Services (CMS) will continue to pay more for Medicare Advantage (MA) plans -- $76 billion more in 2026 -- compared with fee-for-service plans. That higher cost ...

On December 1, 2025, the First Circuit Court of Appeals delivered a decision that should bring welcome relief to clinical ...

In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle ...

UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...

Hospital administration might not get much spotlight, but it quietly shapes every step of a patient’s experience. From check-in to follow-up, accuracy is the backbone that keeps care running smoothly.

The center uses the claims submission technology to automatically turn its clinical information into data appropriate for ...