Big Data & Analytics

How Are Insurers Gaming Medicare Advantage for Billions?
Regulatory & Compliance How Are Insurers Gaming Medicare Advantage for Billions?

What happens when a program designed to save money for seniors and taxpayers turns into a goldmine for corporate giants? Medicare Advantage, a privatized healthcare option meant to streamline costs for millions of older Americans, is at the center of a staggering controversy. Reports reveal that

Kansas and Hawaii Blues Partner with Stellarus for Health Tech
Digital Health Kansas and Hawaii Blues Partner with Stellarus for Health Tech

In an era where healthcare costs are spiraling and administrative burdens are mounting, a striking development has emerged in the nonprofit health insurance sector with Blue Shield of California’s sister company, Stellarus, forging a transformative partnership. This alliance with Blue Cross Blue

Why Should Health Plans Own AI Models for Behavioral Health?
Digital Health Why Should Health Plans Own AI Models for Behavioral Health?

In 2025, the healthcare sector faces a staggering reality: nearly one in five adults in the United States grapples with mental health conditions, yet health plans struggle to identify and support at-risk members before crises emerge. This gap in proactive care translates to billions in preventable

Could Trump's Health Data Plan Empower Big Tech Over Startups?
Digital Health Could Trump's Health Data Plan Empower Big Tech Over Startups?

The Trump administration's recent proposal to overhaul health data sharing in the United States has ignited a firestorm of debate among industry experts, policymakers, and tech innovators. Designed to dismantle the long-standing data silos that plague the American healthcare system, the initiative

How Will HHS Combat Information Blocking in Healthcare?
Digital Health How Will HHS Combat Information Blocking in Healthcare?

Setting the Stage for Data Flow in Healthcare Imagine a healthcare system where patient records are trapped in digital silos, inaccessible to providers during critical moments of care, creating significant barriers to effective treatment. This is the reality for many in the U.S., where information

Can Health Tech Revolutionize Data Sharing by 2026?
Digital Health Can Health Tech Revolutionize Data Sharing by 2026?

Imagine a future where a patient’s health records flow seamlessly between doctors, hospitals, and even personal apps, ensuring that critical information is always at hand, no matter the location or system. This vision of interoperability in health care is not just a hopeful dream but a tangible

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