Penguin Ai, a healthcare artificial intelligence company, announced today the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution on Snowflake Marketplace. The ...

Medicare Advantage is the dominant Medicare delivery system, now covering 54% of all Medicare enrollees. With the increase in enrollment and federal spending, however, has come increased scrutiny from ...

RAAPID Inc. is proud to announce that the company was recognized by Modern Healthcare as one of the Best in Business of 2025 in the Healthcare IT category. This recognition celebrates RAAPID's Novel ...

UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...

The probe began after STAT and others reported on UnitedHealth's strategies to boost profits in Medicare Advantage.

On September 25, a federal district court vacated the Medicare Advantage risk adjustment and data validation (“RADV”) final rule that would have enabled the Centers for Medicare & Medicaid Services ...

Apixio Inc., the data science company for healthcare, announced availability of the AI-powered solution to help health plans and provider organizations to undertake internal audits of their risk ...

The Alliance of Community Health Plans is calling out risk adjustment scores by larger insurers in Medicare Advantage plans. ACHP, an organization that advocates for smaller health plans, said the ...

Episource warns of a data breach after hackers stole health information of over 5 million people in the United States in a January cyberattack. Episource is a U.S. healthcare services company that ...