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The plan to investigate the private health-insurance companies that run Medicare Advantage has been drastically expanded.
New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member ...
On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced significant changes in its risk adjustment data ...
UnitedHealth investors have another bitter pill to swallow, as the CMS said it was aggressively growing its audit team to ...
Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...
UnitedHealth Group said 2025 revenue at Optum would be $10 billion less than previously estimated. Now the company is saying ...
The company has said in regulatory filings that investigations, audits and reviews by a dozen different government agencies ...
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