Overview of 2026 Payment Increases
The Centers for Medicare and Medicaid Services (CMS) released its final physician fee schedule for 2026 on Friday night, marking a significant milestone for healthcare providers across the nation. The…
What You Should Know:
– ŌURA and Cigna Healthcare have announced a strategic collaboration aimed at integrating continuous biometric insights with expertise in preventive care and chronic disease management.
– The partnership builds upon ŌURA’s earlier…
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Top News
CVS Health reports Q3 results: revenue up 7.8%, adjusted EPS $1.60 versus $1.09, beating analyst expectations for both.
The company took a $5.7 billion impairment charge for its Oak Street Health…
Eugene Gonsiorek, PhD, VP of Clinical Regulatory Standards at PointClickCare
The chorus of voices singing the praises of value-based care is growing ever louder. But in LTPAC, it still feels like the system’s asking providers…
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What You Should Know:
– Axuall, the industry leader in clinical workforce intelligence, and the world-renowned Cleveland Clinic today announced a long-term agreement to co-develop and deploy Axuall Sync.
– The strategic collaboration is designed to…
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Top News
Humana and Providence launch a scalable data exchange collaboration that will use HL7 FHIR standards and modern APIs to reduce administrative burden, enhance interoperability, and support value-based care.
The payer-provider collaboration’s…
The following is a guest article by Phyllis Wojtusik, RN, Executive Vice President, Value-Based Care at Real Time Medical Systems
Hospitals are about to take on greater responsibility for patient outcomes—extending well beyond discharge. Beginning…
It’s open enrollment season for Medicare. Patients and their family members inundate physicians with questions about whether they should switch plans.
Most outpatient office visits are too short to have a meaningful conversation about…
Arun Hampapur, PhD – Co-Founder & CEO, Bloom Value; Fellow, IEEE
Implementing AI in Risk Adjustment for Managed Care is like adding rocket fuel to your engine—from accelerating chart reviews to identifying coding opportunities in…
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The 2025 CMS D-SNP Revolution
CMS’s 2025–2030 regulatory updates to Dual-Eligible Special Needs Plans (D-SNPs) represent the most comprehensive reforms in Medicare-Medicaid integration history. These changes fundamentally reshape how health plans serve dual-eligible populations, demanding…
