A federal court just blocked CMS's plan to use statistical extrapolation  in Risk Adjustment Data Validation (RADV) audits. MA plans may be celebrating but if you're a provider, here's what you need to understand: The burden of documentation falls on you either way. Whether CMS is using extrapolation or not, your documentation is the foundation of every audit. When payers first review your records, your job is to prove that every diagnosis and procedure was supported by clear

Observations from the conference floor, minus the vendor hype

Connecting Innovation with Opportunity At Cofactor, we're passionate about building bridges between innovative healthcare startups and the resources they need to thrive. Our recent Healthcare Demo Day exemplified this mission, bringing together nine remarkable companies working to transform healthcare delivery, diagnostics, treatment, and patient experience. What makes Chicago’s healthcare innovation scene so unique is the intersection of world-class hospitals, top research i

Chicago has emerged as a vibrant nerve center for healthcare technology innovation, with a thriving ecosystem of startups tackling some of the industry's most pressing challenges. As healthcare continues to undergo rapid digital transformation, our city is positioning itself at the forefront of developing solutions that improve access, quality, and efficiency of care. We organized our Healthcare Demo Day to spotlight this incredible local talent and create meaningful connecti

We're thrilled to welcome an exceptional group of healthcare leaders to judge our upcoming Healthcare Demo Day. With diverse backgrounds spanning clinical care, innovation, finance, and technology, these industry experts bring invaluable perspectives to evaluate promising healthcare startups.

Alarming new data fromCHQPR reveals 748 rural hospitals across America face potential closure due to financial distress

Cofactor joins NVIDIA's Inception Program, gaining AI resources and mentorship to revolutionize healthcare revenue cycle management tools.

The choices we make now will determine not just the future of healthcare, but the kind of society we leave to our children. Will we continue to allow faceless algorithms to decide who lives and who suffers? Or will we finally reclaim healthcare's moral center and build a system worthy of our highest values? The murder of UnitedHealthcare Chief Executive Brian Thompson was shocking, but the schadenfreude and the ‘why’ of it all was unsurprising to those of us on the front lin

When healthcare giant Steward Health Care filed for bankruptcy  earlier in May 2024, it sent shockwaves through the industry, challenging long-held assumptions about the stability of large hospital systems. The collapse resulted in five hospital closures and approximately 2,400 job losses across Massachusetts, Florida, and Ohio, with most remaining hospitals transitioning to new owners. Amidst this upheaval, a surprising trend has emerged: mid-sized hospitals are hitting a "G

ProPublica reveals how EviCore uses AI to deny healthcare claims, transforming patient restrictions into profits.

Texas' aggressive Medicaid review has left over 2 million residents without healthcare coverage, creating a crisis that affects the state's