Jeff Lagasse
More than $6M in claims were allegedly submitted to Medicare for DME and genetic testing that were medically unnecessary.
Evernorth said the goal is to enhance continuity of care across specialty healthcare settings.
2024 had the highest share of ACOs receiving performance payments and most savings for ACOs and Medicare.
Consumer complaints to state and federal regulators declined considerably after the law's implementation, data shows.
PBMs’ overseas group purchasing organizations may be used to avoid transparency and oversight, committee says.
The implications of a less inclusive physician workforce could worsen the projected nationwide shortage of more than 130,000 physicians by 2030, study finds.
The nursing home’s severe understaffing, a result of financial fraud, led to several patient deaths, the New York AG finds.
The virtual care program will try to reduce 30-day readmissions for heart failure patients.
The merger is intended to lower the cost of specialty medications and high-cost drug classes like GLP-1s.
The success of this program speaks to the promise of AI as a tool to help doctors make diagnoses, one researcher says.