Aetna, the health insurer subsidiary of CVS Health, has agreed to pay $117.7 million to resolve allegations that it violated ...

Medicare spends 14% more on Medicare Advantage (MA) enrollees than if they were to be enrolled in Medicare Fee-for-Service (FFS), equating to roughly $76 billion in additional spending estimated for ...

Barclays 28th Annual Global Healthcare Conference March 11, 2026 11:00 AM EDTCompany ParticipantsBrandon Sim - President ...

CMMI’s new experiment will improve outcomes for volunteers and digital health companies, not the sickest seniors or primary care practices.

On January 14, 2026, Kaiser Permanente and the U.S. Department of Justice (“DOJ”) entered into a settlement with Kaiser Permanente, agreeing to pay $556 million to resolve allegations that it violated ...

The BBC has been shown a significant – and unfixed – cyber-security risk in a popular AI coding platform. Orchids is a so-called “vibe-coding” tool, meaning people without technical skills can use it ...

Alliance of Community Health Plans President and CEO Ceci Connolly sees momentum around risk adjustment reform picking up. “We see this administration taking very seriously the concerns over wide gaps ...

As CMS reins in Medicare Advantage payments and provider tensions rise, CFOs are rethinking MA strategy, risk exposure, and long-term financial alignment. Once a largely insurer-driven alternative to ...

Datavant, the data collaboration platform trusted for healthcare, today announced that it has been named the #1 Ranked 2026 Best in KLAS Award winner in both the Risk Adjustment: Coding, Retrieval & ...

Microsoft-owned GitHub continues to embrace OpenAI and Anthropic AI advances. Microsoft-owned GitHub continues to embrace OpenAI and Anthropic AI advances. is a senior editor and author of Notepad, ...