Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.

CEO David Joyner put much of the onus on the poor performance on elevated utilization coming out of the pandemic.

This unsustainable business model and the financial burden are passed on to providers, says Everett Wilson, healthcare regulatory attorney at Polsinelli.

CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.

When hit, all hospital functions are severely impaired, including clinical care delivery, which can result in patient deaths, ...

A bipartisan bill introduced in the House last week would stop Medicare payment cuts from going into effect in 2025. The Medicare Patient Access and Practice Stabilization Act would provide a 4.7% ...

The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.

Hospitals didn't have Change Healthcare on their radar as a risk when the ransomware attack affected them, says John Riggi.

Aetna, part of CVS Health, has rolled out SimplePay Health, an alternative health plan that aims to simplify the member ...

Passwords don't need to be changed as often as every 90 days, but multifactor authentication is a must, says Jonathan Bauer, ...

Using AI to extract data is one of the more promising areas of cybersecurity, says Darren Lacey, CISO at Johns Hopkins.

The intent of prior authorization - to make efficient use of health resources - has not worked, says Peter Ax of ...