The healthcare insurance landscape has been significantly disrupted by Centene Corporation's decision to retract its earnings guidance for the current year, highlighting potential systemic weaknesses in risk adjustment and cost management. With a reported $1.8 billion revenue gap attributed to risk
In recent years, the U.S. health care system has grappled with a persistent challenge that undermines both public trust and financial stability: rampant fraud. This pervasive issue is highlighted by a series of large-scale legal actions targeting fraudulent schemes across the nation, including
Barrett's esophagus, a medical condition that can significantly increase the risk of developing esophageal cancer, has traditionally been monitored using endoscopic procedures. However, the advent of a groundbreaking capsule sponge test offers a less invasive alternative, potentially transforming
In a recent move signaling potential change within the healthcare domain, approximately 50 health insurance plans, including major entities like UnitedHealthcare, SCAN Health Plan, Kaiser Permanente, and Humana, have pledged to reduce the burden of prior authorizations. This commitment is part of a
James Maitland is a leading voice in the intersection of healthcare and technology, with a remarkable ability to translate complex robotics and IoT applications into practical solutions for medical care advancement. Here, he shares insights on the pressing issue of updating managed care
The world of skilled nursing and short-term rehabilitation is no stranger to challenges, especially when it comes to the convoluted maze of regulations imposed by federal oversight institutions. Organizations like Ignite Medical Resorts are navigating an increasing array of regulatory requirements
