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 ...

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

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 ...

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 ...

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 ...

One bright spot in the Moody's report shows rising nursing school enrollment, leading to a more robust long-term staffing pipeline. A complete guide to lease accounting for healthcare organizations ...

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 ...

The acquisition of private physician practices across the U.S. accelerated after the onset of the pandemic. A complete guide to lease accounting for healthcare organizations Making a successful ...

Ambulatory surgical centers are gaining traction in the outpatient market. ASCs continue to perform more than half of all U.S. outpatient surgical procedures, and they can expect to see greater ...