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Industry Leaders Applaud CMS’s Measured Approach Insurance industry representatives have expressed strong support for the Centers for Medicare & Medicaid Services’ (CMS) final rule for Medicare...
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Understanding CMS Rule 0057 Requirements The Centers for Medicare and Medicaid Services (CMS) Rule 0057 mandates that health plans develop and implement FHIR-based APIs to streamline electronic prior...
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Financial Troubles Mount for Minnesota Health Insurer UCare, one of Minnesota’s significant health insurers, reported a staggering $504 million operating loss in 2024, representing a dramatic financial...
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Contract Disappears from Government Transparency Site A multimillion-dollar contract aimed at modernizing the healthcare provider enrollment system has mysteriously vanished from the Department of Government...
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The moment healthcare industry enthusiasts have been waiting for has finally arrived. The championship round of our 2025 #FierceMadness competition is set to crown the winner of our highly anticipated best...
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Court Rejects Conspiracy Claims Against Healthcare Giants A New York federal judge has dismissed an antitrust lawsuit that alleged UnitedHealthcare and MultiPlan conspired to dramatically reduce reimbursement...
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Financial Performance Highlights Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has reported a net income of $69 million for the fiscal year 2024, according to an April 7 report by Business North...
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Financial Rescue Secures Healthcare for Vulnerable Populations CareSource has successfully completed its acquisition of Commonwealth Care Alliance (CCA), a strategic move that ensures continued healthcare...
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Top Insurance Employers Recognized Nationally In a significant achievement for the insurance sector, two major insurance companies have secured coveted positions on Fortune’s prestigious list of the top...
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Leadership Transition Brings Healthcare Expertise Clover Health has announced the appointment of Shelly Gupta, MD, as the new chief medical officer of its Medicare Advantage division. This strategic leadership...
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