The Change Healthcare cyberattack compromised the protected health information of at least 100 million people, according to The HIPAA Journal. This represents a third of the population in the United States and makes the data breach the largest known breach at a HIPAA-regulated entity.

AI recommendations in coding capture 100% of what’s sent out versus a manual process in which when staffers select subsets of encounters from within hundreds of documents, says AKASA CEO and cofounder Malinka Walaliyadde.

This year, 389 healthcare institutions in the U.S. were attacked with ransomware, which caused network shutdowns, offline systems, rescheduled appointments and delays in critical procedures, finds a new report from Microsoft.

Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare Advantage Star Ratings. Centene of Missouri and 10 affiliated plans such as Meridian Health Plan of Michigan and several Wellcare plans filed the lawsuit Tuesday in federal court in Missouri. WHY THIS MATTERS

A new lawsuit filed in the Southern District of New York accuses Anthem Blue Cross Blue Shield of New York of maintaining a “ghost network” of doctors, with patients pursuing pricey out-of-network care and experiencing care delays due to inaccurate provider directories.

Healthcare insurtech Oscar Health will be expanding its presence on the Affordable Care Act marketplace in 2025 and is introducing new plans for people with multiple chronic conditions. The company will expand into 405 markets across 18 states next year, it said.

Elevance Health is laying off a combined 123 employees across two southern California locations, according to regulatory documents filed this month.

Medical illustrators need to take complex information and edit out what is not the physician’s focus, such as an injury. AI has not learned proper cellular anatomy, says David Bolinsky, producer of The Inner Life of the Cell and E.mersion Studios CEO and creative director.  

Value-based care has long been the goal, but becomes more than aspirational when the majority of patients are paying through Medicare and Medicaid. Providence Health & Services in Medford, Oregon has a payer mix of 60% Medicare and 20% Medicaid, according to Chris Pizzi, chief executive of the Southern Oregon Service Area. 

Waltz Health, a digital health company focusing on the pricing and distribution of prescription medications, is collaborating with digital chronic disease prevention company Noom on a new weight loss program the two describe as comprehensive and more affordable.