Advantmed, a leading provider of risk adjustment and Quality improvement solutions, today announced the launch of its Pay for ...

Accessing PHI for development and testing is often blocked by stringent HIPAA compliance requirements. Learn how synthetic data helps engineers build tools to close care gaps and improve HEDIS scores.

The Centers for Medicare & Medicaid Services (CMS) has proposed new regulations for 2027, aimed at lowering health care costs and expanding consumer choice. They also aim to protect taxpayers with a ...

Emanuel is vice provost for global initiatives and co-director of the Healthcare Transformation Institute at the Perelman School of Medicine and the Wharton School at the University of Pennsylvania.

The Trump administration is aiming to roll back limits on the plan designs insurers can offer on the Affordable Care Act's (ACA's) exchanges. Under the Biden administration, the Centers for Medicare & ...

CMS unveiled a proposed rule Feb. 9 that would reshape the ACA marketplace for plan year 2027, expanding insurer flexibility on plan design, tightening eligibility verification and re-introducing ...

The Department of Health and Human Services has announced the repeal of standardized plan options in Affordable Care Act coverage. The Centers for Medicare & Medicaid Services proposes to discontinue ...

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also ...

This April will mark a decade since CMS launched the Comprehensive Care for Joint Replacement model, the federal government’s first mandatory, episode-based payment program applied broadly to ...

Seniors may face either cuts to their Medicare Advantage benefits or higher costs next year if the Trump administration’s proposal for a miniscule payment increase for 2027 kicks in, some industry ...

Lori Kelley's deteriorating vision has made it hard for her to find steady work. The 59-year-old, who lives in Harrisburg, North Carolina, closed her nonprofit circus arts school last year because she ...

The Trump administration’s move to give deportation officials access to Medicaid data is putting hospitals and states in a bind as they weigh whether to alert immigrant patients that their personal ...