UnitedHealth (UNH) and peers face significant margin risk after the CMS's 2027 Medicare Advantage rate proposal fell short of ...

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...

For example, the No UPCODE Act, introduced by Senators Bill Cassidy (R-LA) and Jeff Merkley (D-OR), would eliminate the use of health risk assessments used to boost coding intensity and utilize two ...

As CMS-HCC V28 fully takes effect in 2026, healthcare organizations face a structural reset in risk scoring. Planning ...

This postdoc investigates cancer progression and tests innovative anti-tumor strategies in pre-clinical models.

The CMS proposed modest payment growth for Medicare Advantage in 2027 and emphasized sustainability, accuracy, and simplicity.

On Friday, OpenAI engineer Michael Bolin published a detailed technical breakdown of how the company’s Codex CLI coding agent ...

Background and aims The prognostic nutritional index (PNI), calculated from serum albumin and lymphocyte count, reflects a ...

Claude Code generates computer code when people type prompts, so those with no coding experience can create their own ...

As employers push patients to lower-cost sites of care and regulators nudge providers toward downside risk, value-based care ...

Hospitals are facing a steady rise in payment disputes over their assignment of a Diagnosis Related Group (DRG). These disputes fall into two ...

Hepatocellular carcinoma (HCC) management is rapidly evolving as systemic therapies and locoregional treatments are increasingly combined across disease ...