StrategySCAN Group, CareOregon Scrap Merger Amid Pushback
Mounting scrutiny was too much to overcome for the organizations? partnership.
Technology5 Common Mistakes in Documenting a Telemedicine Visit
A recent OIG audit of evaluation and management (E/M) services provided by telemedicine during the pandemic found that providers generally...
PayerCMS Pumps the Brakes on AI for MA Plans
CMS is cracking down on AI use in Medicare Advantage.
PayerThree Things Shaking Up Medicare Advantage
Medicare Advantage has seen a lot of turbulence recently.
FinanceIs Humana Likely to Take Another Financial Hit?
This time, CMS is to blame for upsetting Humana's funding expectations for 2025.
FinanceHumana's Earnings Report: How MA is Draining Payers Too
Hospitals and health systems aren't the only ones dealing with revenue loss from Medicare Advantage (MA).
PayerCigna Sells Medicare Business to HCSC for $3.7B: What It Means
What the $3.7 billion dollar deal means for each company.
FinanceWhy CVS Health's New CFO Will Impact Healthcare Market Dynamics
CVS Health announced a new CFO, a move that signals its commitment to adapting to market dynamics and staying ahead...
FinanceWhy More Organizations are Terminating Medicare Advantage Contracts
The great termination? More organizations are terminating payer contracts amid heated negotiations, and Medicare Advantage is in the hot seat.
PayerMedicare Advantage: Too Big For Its Own Good?
Medicare Advantage has gained substantial popularity over recent years, but its growth may prove to not be the best trajectory...
PayerOlder Americans Say They Feel Trapped in Medicare Advantage Plans
The private plans serve 30.8 million people despite concerns about aggressive sales tactics and misleading coverage claims.
PayerMarket Power Overflow: How a Concentrated MA Market Is Crunching Insurance Options
As insurers design a healthcare market that is evermore concentrated, where does that leave Americans looking for a competitive plan?