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 ...

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 ...

"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 ...

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 ...

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A new Oklahoma executive order on Medicare Advantage may go further than any other state initiative to rein in practices largely seen as unfavorable to both beneficiaries and providers.

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 ...