Medicare open enrollment has officially closed, but Americans on a Medicare Advantage (MA) plan now have the option to switch ...

The skilled nursing sector experienced a turbulent and transformative 2025, shaped by sweeping deregulation efforts, ...

The Markup reports on the critical need for organ donation, highlighting personal stories, myths, and ongoing disparities in ...

Cleveland Clinic CFO discusses rising cost pressures and strategic leadership amid healthcare payment reform and AI adoption.

Self-insured employers face legal challenges in adopting value-based models, including ERISA fiduciary duties, HIPAA restrictions, and antitrust concerns. Standardized data definitions and performance ...

Key Takeaways - AI adoption in home health and hospice is accelerating regulatory risk, with Section 1557 nondiscrimination rules, HIPAA ...

Medicare Advantage simplifies health coverage for seniors, but coverage gaps and limited access to Black physicians still pose challenges.

The Trump administration has unveiled a new payment model that could extend Medicare coverage to functional or lifestyle medicine providers. | The Trump administration has unveiled a new payment model ...

CMS AI Playbook v4 mandates prompt safeguards and auditable data lineage for generative AI in hospitals. Non-compliance risks ...

A new provision summary from the Centers for Medicare & Medicaid Services (CMS) confirms a provider’s annual resurvey and reaccreditation cycle will not begin until the expiration of the supplier’s ...

Artificial intelligence is rapidly transforming clinical medicine, with AI-powered tools increasingly being used for ...

M transactions reveal payment delays and denials trends, showing Medicare Advantage inpatient denials rose 42% and impacting hospital reimbursements.