In the latest Minimum Data Set (MDS), effective on Oct. 1, providers will need to pay close attention to definition changes, ...

During a regular office visit, one of Dr. Nancy Keating’s patients mentioned that a UnitedHealth Group representative had recently dropped by her home. The sixty-something patient belonged to a ...

Here are five notable developments from Cigna over the last month: 1. The Cigna Group has named Eva Borden as chief product ...

In what will create a glimmer of hope for beleaguered Medicare Advantage Organizations (MAOs) who are facing looming waves of Risk Adjustment Data Validation (RADV) audits, on September 25, 2025, a ...

Introduction The COVID-19 pandemic led to major disruptions in society across many spheres, including healthcare, the economy and social behaviours. While early predictions warned of an increased risk ...