By Marge Ciancetta – Among the most impactful changes released by CMS each year in the Medicare Advantage and Part D Final Rule are adjustments to the Star Ratings program. As a result of the most recently finalized changes, CMS projects a 0.69% decline in overall quality bonus payments for 2026.
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Latest announcements made from companies and organizations on hiring include Visana Health, Sonrava Health, uPerform, MedeAnaytics, CereCore, Hallmark Health Care Solutions, Certara Inc., Strive Health, Unlearn, Luminis Health, Cotiviti, Leavitt Partners, Eko Health, Collette Health, & the CDC.
Business and financial news from NextGen Healthcare, Marathon Health, CipherHealth, Lindus Health, Abundant Health Acquisition, Cotiviti, KanduTM Health, and more.
Business and financial news from MRO, Healthcare IT Leaders, Consensus Cloud Solutions, Cynerio, Waystar, Inovalon, InterSystems, MediQuant, Medicomp Systems, Sagility, athenahealth, VSee Health, Claroty, Catapult Health, Empassion Health, Cortechs.ai, ImpediMed, Andor Health, mPulse, Edifecs, Cotiviti, PointClickCare, Healthmap Solutions, and CirrusMD, Clearsense, and more.
Health IT business news from Consensus Cloud Solutions, MRO, NextGen Healthcare, Wondr Health, Ensemble, Cotiviti, Tendo, ClearCost Health, Atropos Health, xCures, TapestryHealth, VirtuAlly, LiveData, Veradigm, HealthyBOS, ModMed, OncoHost, Experity, and more.
Our annual predictions for 2025 continue with our quest for interoperability. Throughout the next few weeks we will be asking the industry experts what they think we will see in 2025. Check back as we cover value-based care, virtual care, and how AI will impact healthcare finance, security, RCM, and clinical issues.
The thought leaders in our community are good about sharing their thoughts on the issues of today. Here are the top read and shared guest posts of November that we think deserve sharing again.
By Matthew Hawley – Artificial intelligence has been touted as a “solution” to modernize many payers’ processes and functions, including their traditional payment integrity programs. Yet seeing AI as the answer to health plans’ administrative burdens is overly simplistic.
Health IT business news from Inovalon Inc., SeamlessMD, HSBlox, rater8, Cotiviti, Greenway Health, Kontakt.io, symplr, 1upHealth, Lirio, Cone Health, CRISP Shared Services, Barton Associates, Huma, Wolters Kluwer Health, and more.