Laws & Regulations

Centene Sues CMS Over Medicare Advantage Star Ratings
Infrastructure & Management Centene Sues CMS Over Medicare Advantage Star Ratings

When the federal government recalibrated its metric for healthcare quality this year, Centene Corporation watched as hundreds of millions of dollars in potential revenue vanished overnight. This legal move in a Georgia district court marks a pivotal moment in the tightening relationship between

Medicaid Mandates and High Costs Fuel US Healthcare Crisis
Digital Health Medicaid Mandates and High Costs Fuel US Healthcare Crisis

The Growing Fragility of the American Healthcare Safety Net The rapid erosion of health coverage for millions of Americans has reached a critical threshold as the national uninsured rate surges to eleven percent from its previous low of eight point nine percent just one year ago. This sharp

Quest Diagnostics Confirms Cyberattack on Quanum Platform
Regulatory & Compliance Quest Diagnostics Confirms Cyberattack on Quanum Platform

Quest Diagnostics is currently working with law enforcement and forensic experts to determine the full extent of the stolen protected health information from the Quanum platform. This formal acknowledgment comes after security teams identified unauthorized activity within the cloud-based

Does Medicare Cover Surgery on Both Breasts After Cancer?
Infrastructure & Management Does Medicare Cover Surgery on Both Breasts After Cancer?

While the Women’s Health and Cancer Rights Act protects private insurance holders, Medicare beneficiaries rely on specific CMS determinations to ensure both breasts are covered during reconstruction. For many individuals facing a mastectomy, the surgical journey does not simply end with the removal

Will EU IVDR Certification Advance RNA-Based Cancer Care?
Digital Health Will EU IVDR Certification Advance RNA-Based Cancer Care?

The transition to the European Union’s In Vitro Diagnostic Regulation imposes rigorous safety and efficacy standards that high-complexity genomic profilers must now satisfy. This shift represents a significant evolution in how precision medicine tools are validated and marketed within one of the

The Promise and Limits of the Galleri Multicancer Test
Digital Health The Promise and Limits of the Galleri Multicancer Test

A single vial of blood drawn during a standard physical examination may now possess the revolutionary capability to expose dozens of hidden malignancies before a patient ever experiences a single symptom. For decades, the medical community sought a universal diagnostic tool that could peer into the

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