The Centers for Medicare and Medicaid Services issued a final rule on Friday intended to crack down on what it calls improper enrollment in Affordable Care Act plans. The 2025 Marketplace Integrity ...
As hospitals implement AI coding tools, more patients are being coded as medically complex, BCBS analysis finds.
The agency canceled enrollments covering more than 760,000 people and paused registration for some agents and brokers ahead of 2027.
The agency canceled enrollments covering more than 760,000 people and paused registration for some agents and brokers ahead of 2027.
High utilization and claim costs, chronic conditions and the growing use of GLP-1 therapies continue to drive spending and ...
The hospital group says CMS's proposed reporting and compliance changes would add costs and uncertainty to state Medicaid financing.
Jennifer Goldsack of the American Medical Association's Center for Digital Health and AI says the center aims to put physicians at the center of its efforts to guide the safe and responsible ...
The watchdog found that most of the high-risk diagnosis codes it sampled were not supported by enrollees' medical records.
Instead of desflurane and nitrous oxide, which contribute significantly to global warming, hospitals may wish to consider equally effective, lower-impact anesthetic gases, says Dr. Matthew Meyer of ...
The organizations have also raised concerns about changes to practice expenses, same-day services and remote monitoring, ...
The agency canceled enrollments covering more than 760,000 people and paused registration for some agents and brokers ahead of 2027.
OBBBA requirements will make it harder for those 19 to 24 to retain coverage because of their changing circumstances, ...
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