10
Jul
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CVS Omnicare Faces Massive $948M Fraud PenaltyTable of Contents Overview of the Historic Penalty Details of the Fraudulent Claims Scheme Court’s Decision and Penalty Breakdown CVS... Continue Reading
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10
Jul
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Alignment Healthcare Wins Medicare Star Rating BattleTable of Contents Court Victory Overview Star Rating Improvements Legal Challenge Details Impact on Members and Providers Industry Implications Future... Continue Reading
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10
Jul
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Value-Based Healthcare Solutions for Self-Funded EmployersTable of Contents Understanding Rising Healthcare Costs The Challenge of Specialty Care Expenses Impact on Self-Funded Employers Value-Based Care Networks:... Continue Reading
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09
Jul
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CenterWell Acquires Villages Health in Bankruptcy DealTable of Contents The Acquisition Overview Financial Challenges Behind the Bankruptcy Medicare Billing Issues Explained What CenterWell Gains from This... Continue Reading
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09
Jul
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2024 Insurance Risk Adjustment Payment TrendsTable of Contents Overview of Risk Adjustment Payments Key Findings from 2024 Data Program Participation Trends Premium Transfer Analysis Enrollment... Continue Reading
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09
Jul
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Molina Healthcare Reports Lower Q2 EarningsTable of Contents Preliminary Q2 Results Overview ACA Marketplace Challenges Financial Impact Analysis Industry-Wide Medical Cost Pressures Leadership Response and... Continue Reading
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04
Jul
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UNC Health Cigna Contract Expires 2025Table of Contents Contract Expiration Details What This Means for Patients Continued Access to Care Potential Cost Implications UNC Health’s... Continue Reading
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04
Jul
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Humana Healthy Horizons Launches Virginia MedicaidTable of Contents Cardinal Care Partnership Expands Healthcare Access Comprehensive Services for Virginia’s Most Vulnerable Whole-Person Healthcare Approach Behavioral Health... Continue Reading
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04
Jul
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Healthcare Document Transformation: Streamlining Member CommunicationsTable of Contents The Healthcare Communication Crisis Complex Document Challenges Six Essential Simplification Measures Streamlining Data Operations Benefits of Digital... Continue Reading
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04
Jul
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Centene Pulls 2025 Earnings Guidance Amid ChallengesTable of Contents Overview of Centene’s Decision Understanding ACA Risk-Adjustment Revenue Financial Impact Analysis Earnings Per Share Projections Risk-Adjustment Revenue... Continue Reading
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