The settlement resolves allegations that the Humana-owned provider submitted unsupported diagnosis codes that increased ...

The real attack comes when users hit three keys for human verification, a command that if followed, installs malware on the ...

Adults over age 55 treated with the Eli Lilly GLP-1 drug had lower rates of hospital admissions and emergency department ...

The regional insurer is working with regulators on the shutdown, which will affect more than 64,000 Medicare Advantage ...

Ten California providers allege the insurer paid about 16% of covered charges for care delivered to 83 patients.

SCAN Health Plan and Costco Wholesale Corporation are partnering on selling Medicare Advantage products in two states and a ...

CFOs are expected to meet aggressive margin targets and demonstrate tangible returns on AI but their responsibilities are ...

Rural Health Transformation Fund investments in Pennsylvania and South Dakota will help fast-track IT modernization and ...

Real-time prior auth checks with United Healthcare, Network Health, Aetna, and other health insurers are being done through ...

SCAN Health Plan CEO Dr. Sachin Jain talks about why now is a good time to invest in a Medicare Advantage plan.

Expert Leigh Poland dives into what needs to be done to meet the Oct. 1 deadline to avoid miscoding denials and over-coding ...

The Colorado health system has been unable to submit nearly $4 million in claims for care provided to people detained by the ...