Artificial intelligence does not replace coder judgment – it instead acts as a consistent second set of eyes, flagging areas ...

The mission of the Program of All-inclusive Care for the Elderly (PACE) isn’t changing in 2026, but the mechanics behind payment and measurement are. Leaders will face tighter risk scoring, higher ...

Health is a crucial asset for human existence. The relationship between health care providers and patients is one built on trust, with an inherent expectation that medical practitioners will act in ...

Diagnosis rates increased steadily throughout childhood, peaking at 645.5 per 100,000 person-years for males ages 10-14 and 602.6 per 100,000 person-years for females ages 15-19, the researchers wrote ...

Functional impairment and high healthcare utilization serve as key indicators for mortality risk among older adults living in structured housing environments.

The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

Prenatal exposure to wildfire smoke during the third trimester may increase the risk for autism in offspring, a new study suggests.

Healthcare fraud continues to plague providers, managed care, and drug companies. $5.7 billion of the $6.8 billion recovered by DOJ was generated ...

Population penetrance of inherited retinal degeneration variants is significantly lower than was previously believed.

CDC officially rolled out ICD-10 code T75.830 specifically for Gulf War Illness. For 30 years, doctors said there was “no ...

Nearly one in four adults over age 50 may have a hidden brain condition tied to sharply higher dementia risk, even without a ...

Clinical and health care resource use burden were greater among patients with diagnosed hypereosinophilic syndrome or predicted hypereosinophilic syndrome via machine learning vs. those without the ...