In the best case scenario, hospitals “are getting 20% less than the lowest workman’s comp fee schedule in the country,” says ...

Among a number of moves at Humana, former Amazon VP of Healthcare Aaron Martin will become president of Medicare Advantage.

Atropos Health CEO Brigham Hyde says the company's AI Evidence Agent integrates directly into Microsoft Teams to provide tumor boards with concise, citation-backed guidance tailored to patient data in ...

All community and independent pharmacies in the Optum Rx network are transitioning to cost-based contracts.

A relatively new form of H3N2 identified this year called Clade K has resulted in increased cases, says Andy Pekosz of the Johns Hopkins Bloomberg School of Public Health.

On January 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the ...

AIwithCare features a software platform that uses generative AI to screen patients for clinical trial eligibility.

The House is scheduled to vote today on a healthcare bill that doesn’t include extending enhanced subsidies for Affordable ...

Leaders are counting on genAI for financial improvement but many health systems have yet to adopt it for RCM, report says.

M&A landscape will regain strength as organizations improve in quality and leverage technology to attract buyers, PwC says.

CMS distributed $3.3B to providers experiencing revenue disruptions, including $2.2B to hospitals, report says.

Tools such as patient portals, electronic health records (EHRs) and telehealth have become foundational for clinical ...