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Latest News & Web Pages
CMS's WISe R Initiative: AI-Assisted Utilization Review Arrives in Medicare
18+ min ago (702+ words) Healthcare providers, suppliers, compliance leaders, and private equity-backed platforms may prepare for increasing operational, reimbursement, compliance, and governance risks as AI-assisted utilization review expands across federal healthcare programs and commercial payors. .. .By: Clark Hill PLC CMS's WISe R Initiative: AI-Assisted…...
Taxation and the Banking Sector: Revenue Drive, Compliance Burden, and the Customer on the Edge
3+ hour, 49+ min ago (1372+ words) Nigeria's fiscal position in 2026 remains tight. Oil revenue is volatile, borrowing space is limited, and the federal government is leaning harder on non-oil revenue to fund the budget. At the center of that push are the banks. As the most…...
How to plan for rising healthcare costs in retirement
16+ min ago (141+ words) Once you have retired, the cost of healthcare is the last thing you want to worry about." However, the costs of nursing homes and in-home care are on the rise. Justin Halverson, Director of Innovation with Great Waters Financial, visited…...
Health insurance coverage loss threatens sick children
6+ hour, 49+ min ago (21+ words) A pediatrician reflects on a colleague's child's leukemia diagnosis to highlight why maintaining health insurance coverage and Medicaid subsidies is crucial....
Medicare Advantage "Working" for Seniors, but Not for Taxpayers, Experts Say
1+ mon, 3+ week ago (193+ words) Top experts at a University of Pennsylvania panel discussion explain why the Medicare Advantage program is a consumer success but a policy failure...
Medicare Advantage Risk Adjustment Post-FFS Spike
1+ week, 2+ hour ago (20+ words) Health policy experts discuss how CMS could prevent temporary spending shocks in FFS Medicare from impacting future Medicare Advantage payments....
Federal drug discount expansion proposal may cost Illinois millions, agency head says
49+ min ago (1051+ words) SPRINGFIELD " A proposal that would expand access to a federal program that discounts the price of prescription drugs could end up costing Illinois employers an additional $89 million a year, including more than $12 million a year for the state of Illinois…...
SDOH moved from theory to savings for one health plan
2+ hour, 22+ min ago (23+ words) Healthcare Finance News SDOH moved from theory to savings for one health plan...
Fixing long-term care coverage
2+ hour, 57+ min ago (1111+ words) Every day in the United States, 10, 000 people turn 65 " and as more of those aging Americans need help with daily activities, our long-term care crisis grows more urgent. About 70% of older adults will need some long-term care at some point, from…...
CMS finalizes major changes to ACA exchanges, including greater access to catastrophic plans
1+ hour, 41+ min ago (539+ words) The Trump administration continues to open the doors to the cheap, high-deductible coverage, to the worry of insurance experts and stakeholders in the healthcare industry. The Trump administration on Friday finalized a major rule reshaping the Affordable Care Act exchanges,…...