Actual disenrollment will depend heavily on how easy states make it for young adults, who move frequently and participate in ...

Physio Solutions, which does business as medlitix, is the 17th company certified to settle out-of-network payment disputes under the No Surprises Act as arbiters face increasing scrutiny from ...

The agency says the CMS and MA organizations aren’t doing enough to screen durable medical equipment providers, especially ...

The layoffs come months after CommonSpirit announced it was ending its service contract early and exiting its stake in the ...

The drugmaker is the latest to impose a reporting requirement on 340B providers, saying stricter guardrails are needed to ...

It’s the second wave of layoffs at the nonprofit this year. Trinity said financial pressures and increasingly complex ...

Nurses in the U.S. can use Oracle’s clinical artificial intelligence agent to search for and navigate patient charts via ...

Ultimately, AI is only as safe as the dynamic data quality management and governance that supports it. This leads to two ...

The inpatient pay raise reflects a market basket increase of 3.3%, reduced by a 0.7 percentage point productivity adjustment, according to a CMS fact sheet on the final rule. The rule also includes ...

The insurer is still working on strategies to ensure its MA markets remain as profitable as possible, but it’s confident in ...

A record number of hospitals are fully sharing data on the cost of their services, thanks to the CMS stepping up enforcement.

A rise in healthcare spending is driving premium increases, according to a new study published by researchers from Yale ...