UnitedHealthcare has won its lawsuit against the Centers for Medicare and Medicaid Services over the calculation of Medicare Advantage star ratings. On Friday, a federal court in Texas ordered CMS to recalculate UnitedHealth’s 2025 star ratings without consideration of a “secret shopper” call that was the focus of the dispute.
Achieving FHIR at scale will come about as other industry standards have done, through usage and/or government intervention, says Paul Wilder, director of CommonWell Health Alliance.
Mount Sinai Health System in New York is embracing artificial intelligence with the recently announced opening of the Hamilton and Amabel James Center for Artif
On Tuesday, the Centers for Medicare and Medicaid Services announced a proposed rule for coverage of obesity drugs in Medicare and Medicaid, starting in 2026. After notice and comment rulemaking, the rule would need to be finalized under the Trump Administration. Comments must be submitted no later than January 27, 2025.
FHIR at scale awaits trusted scale exchange, but the building blocks and capability are there, says Paul Wilder, director of CommonWell Health Alliance.
More than half of health system leaders and insurance executives are calling artificial intelligence an “immediate priority,” and 73% of organizations said they were growing their financial commitments to the technology, according to a new survey, “Inside the C-Suite Payer & Provider Leaders Share Their Vision for AI.”
With only three weeks left in the legislative calendar, 41 senators have signed a letter urging Senate leaders to prevent the 2.8% physician pay cut scheduled to go into effect on January 1.
A Dallas anesthesiologist who was found guilty of injecting dangerous drugs into patient IV bags, leading to one death and numerous cardiac emergencies, has been sentenced to 190 years in prison, according to the U.S. Department of Justice.
Baptist Health Boca Raton Regional Hospital, part of Florida’s Baptist Health, has received a $32 million grant from the Marcus Foundation that it calls the biggest in its history. The grant was one of the final major grants personally directed by Bernie Marcus before his death in early November at 95. The funds are expected […]
A new, clinically-focused strategic alliance has been formed between CommonSpirit Health and University of Utah Health, with the two entities hoping the alliance will increase access to quality medical care. Through the alliance, patients at five CommonSpirit hospitals will have access to University of Utah Health’s physicians and providers, and the former will extend the […]