New capabilities help Medicare Advantage organizations offer sustainable, high-quality plans by improving Star Ratings, strengthening RAF and reimbursement accuracy, and driving better member ...

For most of Medicare Advantage's history, RADV audits were sporadic. CMS selected a handful of contracts each year. The probability of being audited was low enough that many plans treated RADV ...

Forbes contributors publish independent expert analyses and insights. Jodie Cook covers AI and founder-led growth for business owners. Andrej Karpathy, who coined "vibe coding," now deems it obsolete, ...

HOUSTON — Houston City College on Tuesday announced a new partnership with Tesla, Inc. The school said the partnership was formed "to strengthen Houston's workforce and expand career pathways in ...

CVS has opened a new, smaller-format pharmacy in southeast Houston's Greater Hobby area, aiming to address a local 'pharmacy desert' and improve access to essential health services for more than 9,000 ...

The term "vibe coding" was coined by OpenAI cofounder Andrej Karpathy in February 2025. "It's not really coding," he posted on X, "I just see stuff, say stuff, run stuff, and copy paste stuff, and it ...

Forkhead Box O-1 (FOXO1) is one of the key regulatory transcription factors capable of regulating many critical cellular functions, such as promoting apoptosis and inhibiting cell cycle progression ...

Most health plans obsess over HCCs. They build entire departments around maximizing hierarchical condition categories. They invest in retrospective coding, prospective review, and audit prep. But ...

Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

Is the data publicly available? How good is the quality of the data? How difficult is it to access the data? Even if the first two answers are a clear yes, we still can’t celebrate, because the last ...

Bringing on artificial intelligence as a collaborator can make coding feel more accessible to those with little training in it, but there are trade-offs. By Lora Kelley What is a vibe? Many know it ...

The Alliance of Community Health Plans is calling out risk adjustment scores by larger insurers in Medicare Advantage plans. ACHP, an organization that advocates for smaller health plans, said the ...