Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...

"Can You Hear Me (Us) Now??!" I wish I had coined that phrase years ago! So many of us responsible for education, training and consulting within the healthcare industry feel that we sometimes speak to ...

WASHINGTON, DC - MARCH 14: Dr. Mehmet Oz, nominee to be administrator of the Centers for Medicare and Medicaid Services, testifies during his confirmation hearing. (Photo by Nathan Posner/Anadolu via ...

CMS released its 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, proposing a net average year-over-year payment ...

The American healthcare system is often described as the most advanced in the world-yet for many people, it feels inaccessible, confusing, and broken. Costs are high, coverage is inconsistent, and ...

Health insurance costs are expected to rise for Americans in 2026. ACA subsidies may expire, increasing marketplace prices for middle and low-income households. Here's what to know about employer- and ...

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