Medicare

Lightbeam Health Solutions and Wakely Consulting Group Partner to Launch Predictive ACO Optimization Tools for Value-Based Care Leaders

New partnership empowers ACOs to drive millions in value through network performance benchmarking and predictive actuarial insights DALLAS, Nov. 19,…

1 month ago

Report: Major Flaws in CMS Nursing Home Quality Measure Hindering Alzheimer’s Care

Project PAUSE Urges Reform of Nationwide Metric Used to Determine Prescribing Antipsychotics in Long-Term Care Settings WASHINGTON, D.C. / ACCESS…

1 month ago

Alignment Healthcare to Present at Piper Sandler 37th Annual Healthcare Conference

ORANGE, Calif., Nov. 19, 2025 (GLOBE NEWSWIRE) -- Alignment Healthcare, Inc. (NASDAQ: ALHC), today announced that it will present at…

1 month ago

Axxess Launches Caregiver University to Elevate Caregiving Excellence

DALLAS, Nov. 18, 2025 /PRNewswire/ -- Axxess, the leading global technology innovator for healthcare at home, has launched Caregiver University as…

1 month ago

Cohere Health Introduces First Configurable Sepsis Audit Agent to Power Smarter Payment Integrity

Agentic AI solution adapts to five unique policy frameworks, autonomously closes no-finding claims, and drives optimized savings for health plans…

1 month ago

Azara Healthcare Releases New Risk Adjustment Capabilities in EHR Plug-In for athenaOne via the athenahealth Marketplace

New Functionality Streamlines RAF Gap Closure at the Point of Care, Boosting Documentation Accuracy and Streamlining Workflows BURLINGTON, Mass., Nov.…

1 month ago

The Ridge RTC Announces In-Network Partnership With Cigna

The new in-network contract further supports The Ridge RTC’s commitment to affordable and accessible mental health care at its treatment…

1 month ago

MDaudit’s 2025 Benchmark Report Reveals Ongoing Acceleration of Payer Audits, Troubling Rise in Denials and Outpatient Coding Issues

Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial…

1 month ago

The Percentage of Patients with a Telehealth Claim Increased Nationally and in Every Region Except the Northeast in August

Diabetes Reentered the Top Five Telehealth Diagnostic Categories in the South in August for the First Time Since April NEW…

1 month ago