Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
As CMS-HCC V28 fully takes effect in 2026, healthcare organizations face a structural reset in risk scoring. Planning ...
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 ...
The Trump administration has released proposed payment rates in Medicare Advantage and Part D for the 2027 plan year, ...
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CMS Paying More for Medicare Advantage Patients Compared to Traditional Enrollees
Difference in spending attributed to "coding intensity" and "favorable selection" ...
Luigi Mangione se presenta ante tribunal mientras jueza sopesa pruebas de asesinato del CEO Luigi Mangione, acusado de asesinar a tiros a un ejecutivo de una compañía de seguros médicos a la salida de ...
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