The Justice Department claims some Kaiser health plans submitted invalid diagnostic codes to reap higher reimbursement from Medicare. It’s the largest settlement linked to MA upcoding to date, according to one law firm.
The GLP-1 giants are the first to try out this new model, but more companies may follow.
The insurer will cut its MA payment timelines in half for select providers in Oklahoma, Idaho, Minnesota and Missouri in an effort to provide relief to rural hospitals.
The U.S. spent 7.2% more on healthcare in 2024. Most of the acceleration was because of greater use and intensity of medical goods and services, not growth in healthcare prices, CMS actuaries said.
Workers at the National Institute for Occupational Safety and Health affected by the layoffs last spring received emails yesterday that their reduction-in-force notices have been revoked. Hundreds of NIOSH employees had been let go.
A new report paints a picture of a sector with limited confidence in its defensive capabilities.
Epic alleges Health Gorilla and its clients retrieved nearly 300,000 patient records for financial gain. Health Gorilla argues the EHR vendor is attempting to stop the free flow of health data.
While health systems will continue their AI rollout, use of the technology could evolve amid intensifying competition from EHRs, fragmented regulations and growing M&A opportunities.
Some 22.8 million people have signed up for Affordable Care Act plans through early January, slower than last year’s pace but more robust than some experts predicted. Still, the CMS data paints an incomplete picture of the market.
Startups raised $14.2 billion last year, the highest funding total since 2022. Health AI companies collected 54% of total funding, according to Rock Health.