2+ hour, 49+ min ago   (896+ words) Staffers for Sen. Chuck Grassley, R-Iowa, dove into 50,000 pages of documentation from UnitedHealth for the new report, which accuses the company of maintaining a workforce dedicated to upcoding. UnitedHealth is aggressively gaming Medicare Advantage to inflate its reimbursement from the…...

4+ day, 17+ hour ago   (1080+ words) Health systems that address costs, workforce planning and portfolio strategy may be better positioned as reimbursement headwinds intensify this year. Healthcare providers head into 2026 in a more stable position than they've been in for several years. Labor markets have become…...

5+ day, 10+ hour ago   (306+ words) The change'runs counter to the company's broader efforts'to pare back red tape for physicians amid widespread discontent with health insurers. Starting April 1,'when the same provider bills UnitedHealthcare for an E/M service and a global radiology code for the…...

1+ week, 10+ hour ago   (517+ words) A Maine district court temporarily enjoined the pilot, which was set to take effect on Jan. 1, from kicking in. Still, the controversial payment experiment isn't dead in the water. The HHS startled many in the healthcare industry when it announced…...

1+ week, 14+ hour ago   (401+ words) Don't miss tomorrow's healthcare industry news Why Star Ratings matter and what's at stake for health plans For health plans across the U.S., Star Ratings are more than just a score, they're a lifeline. These ratings, published annually by the Centers…...

3+ week, 10+ hour ago   (954+ words) On Friday, the healthcare behemoth released results of three highly anticipated external reviews that drilled down on a number of areas for improvement. UnitedHealth has pledged to make a range of improvements in response to the first outside reviews of…...

3+ week, 10+ hour ago   (361+ words) The proposed rule aims to tamp down on unwieldy price data files and change how some prices are reported. Boosting price transparency requirements has been a priority of the Trump administration since its first term, when the HHS finalized rules…...

3+ week, 3+ day ago   (267+ words) The providers said they can best serve their communities by operating independently. The deal would have created a health system with more than $6 billion in annual revenue. The health systems didn't provide details on why they decided to scrap the…...

1+ mon, 2+ day ago   (416+ words) Some 5.8 million people have signed up for 2026 ACA plans so far, up about 7% year over year. Still, enrollment tends to shift over signup periods. The ACA marketplace could look drastically different next year. Republicans and Democrats have presented dueling health…...

1+ mon, 4+ day ago   (426+ words) Nearly 60% of survey respondents reported they wouldn't be able to afford a $300 annual increase in healthcare costs without significantly disrupting their finances. The enhanced subsidies were first enacted during the COVID-19 pandemic, allowing many low-income ACA beneficiaries to pay little…...