The Centers for Medicare and Medicaid Services has released the Medicare Advantage and Part D star ratings for 2021. The 21 health plans earning 5 stars include KelseyCare Advantage, Kaiser Permanente ...

As major health insurers battle steep losses on the exchange market, UnitedHealth has leveraged its ace in the hole to stay out of the red: Optum. And its success creates an important lesson for other ...

Missed and open appointments cost the healthcare industry $150 billion annually, according to a new vendor report that recommends automating the process. Providers have no-show rates between five and ...

What's in a brand? A lot, as it turns out, and the importance of branding is only growing in the healthcare space, particularly in an era defined by consumerism and choice. It's a new world for many ...

Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians. Susan Morse, Executive Editor ...

A final rule released by the Centers for Medicare and Medicaid Services late today adds more than 60 services to the Medicare telehealth list that will continue to be covered beyond the end of the ...

Food insecurity is more than about being hungry, it's about the estimated 1 in 8 Americans who do not have access to nutritious food. Susan Morse, Executive Editor ...

A complete guide to lease accounting for healthcare organizations Making a successful transition to the latest lease accounting requirements such as ASC 842, IFRS 16 or GASB 87 can be a complicated ...

Thirty-one percent of inpatient claims submitted to commercial payers weren't paid for more than three months, data shows. Jeff Lagasse, Editor A complete guide to lease accounting for healthcare ...

SCAN Health Plan has won its lawsuit against the Department of Health and Human Services over the way the government calculated Medicare Advantage Star Ratings for 2024. The ruling means SCAN will get ...

A new study finds racial bias in an algorithm from Optum that is widely used by health systems. The algorithm helps hospitals identify high-risk patients, such as those who have chronic conditions, to ...

A complete guide to lease accounting for healthcare organizations Making a successful transition to the latest lease accounting requirements such as ASC 842, IFRS 16 or GASB 87 can be a complicated ...