UnitedHealthcare has won its lawsuit against the Centers for Medicare and Medicaid Services over the calculation of Medicare Advantage star ratings. On Friday, a federal court in Texas ordered CMS to recalculate UnitedHealth’s 2025 star ratings without consideration of a “secret shopper” call that was the focus of the dispute.
Achieving FHIR at scale will come about as other industry standards have done, through usage and/or government intervention, says Paul Wilder, director of CommonWell Health Alliance.
Mount Sinai Health System in New York is embracing artificial intelligence with the recently announced opening of the Hamilton and Amabel James Center for Artif
On Tuesday, the Centers for Medicare and Medicaid Services announced a proposed rule for coverage of obesity drugs in Medicare and Medicaid, starting in 2026. After notice and comment rulemaking, the rule would need to be finalized under the Trump Administration. Comments must be submitted no later than January 27, 2025.