The Department of Health and Human Services (HHS) is examining risk adjustment tactics that have led to overpayments to some Medicare Advantage plans, Secretary Xavier Becerra told reporters Friday. Becerra said the agency has seen evidence of charges going beyond what would be necessary for MA plans using tactics such as up-coding. The remarks come ...

During HIMSS22, Philips gave its top predictions for the future of healthcare systems over the next three years based on labor market trends and the expansion of hospital-at-home services. Roy Jakobs, chief business leader of Connected Care at Philips, offered the following predictions: * Over the next three years, 40% of providers will shift 20% of ...

Ryan High has been named the new director of the Silver State Health Insurance Exchange. He has been the exchange’s chief operations officer since 2016, overseeing the exchange’s online marketplace, Nevada Health Link.

On the first day of a new COVID-19 reporting system, Clark County reported a decline in most major metrics.

A Senate committee has approved a bipartisan blueprint to overhaul the nation's public health system, applying the lessons of COVID-19 to future outbreaks through a new chain of command, a stronger medical supply chain, and clearer crisis communications.

Patients are no longer required to pay for out-of-network care given without their consent when they receive treatment at hospitals covered by their health insurance since a federal law took effect at the start of this year. But the law’s protections against the infuriating, expensive scourge of surprise medical bills may be only as good ...