MA enrollment increases of 1%-3% over the last two years compare with 7%-10% between 2017 and…
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The Financial Advantage of Responsible AI
Cybersecurity was considered secondary in healthcare lending models. In 5 years, AI governance and algorithmic bias…
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Medicare Advantage member satisfaction on the decline
Overall customer satisfaction with Medicare Advantage plans is 623 (on a 1,000-point scale), down 29 points…
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Elevance loses lawsuit over Medicare Advantage star ratings
The court says it lacks the ability to “second-guess” CMS’ data collection and scoring methodology. Elevance…
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CMS denies Humana’s Medicare Advantage star ratings appeal
Photo: RaymondGehman/Getty Images The Centers for Medicare and Medicaid Services has rejected an appeal from Humana…
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Medicare Advantage insurers made about 50 million prior authorization determinations in 2023
Photo: shapecharge/Getty Images Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023, reflecting…
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