Health insurer UnitedHealth Group used aggressive risk-adjustment coding tactics to increase U.S. government reimbursement ...

Hametner says it also allows bosses to play to their strengths. She gives the example of a previous client where one co-CEO ...

The probe began after STAT and others reported on UnitedHealth's strategies to boost profits in Medicare Advantage.

As AI reshapes medical coding, patients and employers may end up paying more without receiving the right level of care.

A Broward County dental practice owner has entered a plea in a multimillion-dollar insurance fraud case involving offices in ...

Absent any statutory consequences for not completing the OPPS Drug Acquisition Cost Survey (ODACS), it is wrong for CMS to tell hospitals and health systems that they “are to” complete it.

Inspire Announces Appointment of Matt Osberg as Executive Vice President and Chief Financial Officer Joining the Company in the First Quarter of 2026MINNEAPOLIS, Jan. 12, 2026 (GLOBE NEWSWIRE) -- ...

The Centers for Medicare & Medicaid Services has released a request for information seeking input on replacing its Medicare ...

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