As the Medicare Advantage market continues to evolve amid regulatory change, margin pressure, and ongoing member movement, it remains a crucial growth and performance priority for many health plans.

Healthcare coding has fundamentally transformed from volume-driven revenue capture to compliance-first, defensible documentation standards.

For most of Medicare Advantage's history, RADV audits were sporadic. CMS selected a handful of contracts each year. The ...

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

A Hacker News social news site's Ask HN post, which asks whether anyone has replaced cloud AI such as Claude or GPT with local AI models as their main tool for everyday coding, is attracting attention ...

Will Kenton is an expert on the economy and investing laws and regulations. He previously held senior editorial roles at Investopedia and Kapitall Wire and holds a MA in Economics from The New School ...

Adam Hayes, Ph.D., CFA, is a financial writer with 15+ years Wall Street experience as a derivatives trader. Besides his extensive derivative trading expertise, Adam is an expert in economics and ...

US Food and Drug Administration Approval Summary: Talazoparib in Combination With Enzalutamide for Treatment of Patients With Homologous Recombination Repair Gene-Mutated Metastatic ...