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Medicare Advantage by Default
5+ day, 23+ hour ago (216+ words) The Trump administration is'considering'a change to Medicare that could help make healthcare more efficient and cheaper for millions of American seniors and disabled people, but it comes with important caveats. The Anatomy of MA But the risk-adjustment model is far…...
Care Synergy Announces Leadership Transition as CEO Tim Bowen Plans Retirement; Tricia Ford Named CEO Elect
2+ hour, 22+ min ago (172+ words) EIN Presswire There were 2, 189 press releases posted in the last 24 hours and 477, 448 in the last 365 days. Care Synergy Announces Leadership Transition as CEO Tim Bowen Plans Retirement; Tricia Ford Named CEO Elect After more than a decade of leadership, Care…...
RADV Audits Went From Rare to Universal. Most Health Plans' Technology Didn't Keep Up | Sponsored Content | wvgazettemail. com
1+ hour, 58+ min ago (295+ words) For most of Medicare Advantage's history, RADV audits were sporadic. CMS selected a handful of contracts each year. The probability of being audited was low enough that many plans treated RADV preparation as optional, assembling ad hoc response teams only…...
IBD 50 Stocks To Watch: Alignment Healthcare Hits Latest Buy Point, But There's A Catch
1+ hour, 14+ min ago (141+ words) Health insurance leader Alignment stock is breaking out past its latest buy point, but investors are cautioned that it's a late-stage base. The post IBD 50 Stocks To Watch: Alignment Healthcare Hits Latest Buy Point, But There's A Catch appeared first…...
While Washington Fights Over the Nation's Health, a New AI-First Advisory Puts the Fix, and Liability, on the CFO's Desk
3+ hour, 31+ min ago (431+ words) Paul H. Flowers Jr. Superior Insurance Advisors founder says executives who approve company health plans may already own the liability, and he is using AI to show them a way out. GARY, IN, UNITED STATES, June 30, 2026 /EINPresswire. com/ -- The country is…...
Healthcare AI Is Automating Prior Authorization Backwards
2+ hour, 21+ min ago (549+ words) Ramya Ganti is the founder and CEO of Oprox, a VC-backed AI-native revenue intelligence platform for healthcare providers. Every day, physicians make treatment decisions that cannot move forward until an insurer approves them. That approval process, known as prior authorization,…...
Harvard Researchers Partner with Hi Labs to Study Ghost Networks and Real-World Access to Care Across Medicare Advantage
4+ hour, 43+ min ago (191+ words) Jun 30, 2026, 08: 00 ET Hi Labs, Inc. and Dr. Thomas Tsaiannounce a multi-year research collaboration to measure true access to care and expose ghost networks affecting 35 million Medicare Advantage enrollees. Eliminating ghost networks and delivering true network adequacy has been at the…...
Medicare Advantage prior auth rule a good start, but needs refining
5+ hour, 17+ min ago (695+ words) CVS is a prenatal test to detect genetic disorders or chromosomal abnormalities. Learn what CVS can and cannot tell you, and when it is recommended." Heat illness ranges from heat exhaustion to heat stroke. Recognizing symptoms of heat stroke early…...
Community Update: Strengthening the Patient Financial Experience at Community Memorial Healthcare
4+ hour, 36+ min ago (365+ words) Community Memorial Healthcare is committed to providing high-quality care and service to the patients and communities we serve. That commitment extends beyond clinical care and includes ensuring patients have a positive experience when navigating billing and financial services. Over time,…...
Anthem to cut Medicaid coverage for Meridian Health Services
5+ hour, 48+ min ago (96+ words) Herald Bulletin ANDERSON " A major national health insurance provider will soon drop coverage of Medicaid clients at Meridian Health Services, leaving some of those clients to look elsewhere for health care. Anthem will stop paying for Medicaid clients" services at…...