Provider groups are calling on CMS to adopt new rules that hold MA plans more accountable for “egregious” denials while also ...

Industry leaders say China’s AI models are only months behind the US, and China has advantages in talent and electricity generation ...

Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...

Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...

OpenClaw has quickly become a headline-grabbing example of how fast artificial intelligence is evolving—and how that evolution can introduce brand-new ...

Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes.

Medicare Advantage health plans are blasting a government proposal this week that would keep their reimbursement rates flat next year while making other payment changes. But some health policy ...

AI can help displaced people avoid exploitation, but humans must call the shots, warn experts. For Susan Achiech, life began ...

In the largest Medicare Advantage fraud settlement to date, Oakland, Calif.-based Kaiser Permanente agreed to pay $556 million to resolve allegations it violated the False Claims Act by submitting ...

AI is searching particle colliders for the unexpected ...

You might not see them, but these application programming interfaces are the hidden connectors that make a lot of the digital ...