Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...

George Witwer, CEO of Cavo Health Outperforms Machine Learning Tools with 96%+ HCC completeness, 2–4x Productivity Gains and Reduced Audit Risk Our platform delivers more accurate, audit-ready results ...

A Senate report accuses UnitedHealth Group of turning Medicare Advantage risk adjustments into a profit strategy.

LEWES, Del., April 22, 2025 (GLOBE NEWSWIRE) -- John Snow Labs, the AI for healthcare company, today announced its new end-to-end Hierarchical Condition Category (HCC) coding engine designed to help ...

Medicare Advantage remains an attractive option for Medicare beneficiaries, and enrollment has increased substantially, by 66 percent in the past six years. Also increasing, it seems, is coding ...

On January 14, the Department of Justice (DOJ) announced that five Kaiser Permanente affiliates agreed to pay $556 million to ...

Penguin Ai, a healthcare artificial intelligence company, announced today the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution on Snowflake Marketplace. The ...

"UHG appears to be gaming the system," says Sen. Chuck Grassley ...

Kaiser Permanente (Kaiser) has agreed to pay $556 million to resolve False Claims Act litigation alleging improper Medicare Advantage risk-adjustment practices, according to the U.S. Department of ...

Precise Word Matching AI Solutions Align with Needs to Modernize and Strengthen Rural Healthcare Cavo Health's POC ...