CMS should ensure that temporary spending shocks—such as the recent spike in skin substitute costs—are not mechanically ...

During my time conducting RADV audits, I reviewed thousands of charts across dozens of plans. What stood out wasn't whether ...

NEW YORK--(BUSINESS WIRE)--Datavant, the data collaboration platform trusted for healthcare, today announced that it will showcase its 2026 Best in KLAS Risk Adjustment Coding, Retrieval & Compliance ...

Security consultants who recommend familiar solutions before fully understanding a client's needs are making the same mistake as a doctor who prescribes treatment before examining the patient. A ...

Aetna, the health insurer subsidiary of CVS Health, has agreed to pay $117.7 million to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate and ...

Men and partners are important contributors to the health of future generations, yet their own preconception health and wellbeing remain secondary considerations in research, practice, and policy.

Add Yahoo as a preferred source to see more of our stories on Google. (WHTM) — Health insurance company Aetna has agreed to pay over $117 million to Pennylvanians to resolve allegations that it ...

(WHTM) — Health insurance company Aetna has agreed to pay over $117 million to Pennylvanians to resolve allegations that it violated the False Claims Act for profit, the Department of Justice said.

NEW YORK, March 11 (Reuters) - Aetna, a unit of CVS Health (CVS.N), opens new tab, agreed to pay $117.7 million to resolve U.S. government charges it defrauded Medicare by knowingly submitting ...

Aetna has agreed to pay $117.7 million to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate diagnosis codes for its Medicare Advantage enrollees ...

A sign sits on the campus of the insurance and managed health care company Aetna, Aug. 28, 2020, in Hartford, Conn. (AP Photo/Bill Sikes, File) PHILADELPHIA (CN) — National insurance provider and CVS ...