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 ...

Health insurer UnitedHealth Group used aggressive risk-adjustment coding tactics to increase U.S. government reimbursement ...

A new Senate report alleges that UnitedHealth Group aggressively sought diagnoses that could increase its payouts in Medicare ...

UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...

Five Kaiser Permanente affiliates have agreed to a record-breaking $556 million settlement with the Department of Justice ...

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

Affiliates of Kaiser Permanente have agreed to pay $556 million to resolve allegations that they improperly boosted Medicare ...

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 ...

Medicare Advantage is the dominant Medicare delivery system, now covering 54% of all Medicare enrollees. With the increase in enrollment and federal spending, however, has come increased scrutiny from ...

RAAPID Inc. is proud to announce that the company was recognized by Modern Healthcare as one of the Best in Business of 2025 in the Healthcare IT category. This recognition celebrates RAAPID's Novel ...