Jodee Kozlak, a veteran of major multinational corporations, will join UnitedHealth this coming Monday to modernize and align the healthcare behemoth’s operations across its various businesses.

Tools that target revenue cycle management are attracting attention — and investment dollars — from providers, while payers ...

AI will “turbocharge” medical billing and drive up costs in the short term, CMS Administrator Dr. Mehmet Oz warned Wednesday. But he said the pain is worth it for long-term savings.

The Americans with Disabilities Act and related federal laws define disability broadly, but recent federal court decisions ...

The new lawsuit, filed on behalf of five Medicaid enrollees and a swath of provider groups, says the CMS narrowed exemptions ...

Amid growing public debate over how best to analyze spending in MA versus traditional Medicare, Dr. Amol Navathe, the leader ...

The massive cyberattack on Change Healthcare last year may have compromised the data of about 190 million people — more than half the U.S. population, according to an update from its parent company ...

Patient safety could be at risk if agentic AI tools are rolled out without proper guardrails, Imprivata’s chief medical and ...

The agency said the pause would help crack down on what it says is fraud among new brokers on the exchanges. It also announced on Tuesday it would cancel the enrollments of more than 760,000 people.

Newly released HHS OIG audits of HumanaChoice and UnitedHealthcare of Wisconsin found both plans frequently exaggerated the ...

Despite a $2.8B settlement over BlueCard program disputes, five HCA-affiliated hospitals say the program still traps them in red tape.

Patrick Velliky is confident the No Surprises Act is lowering out-of-network spending, despite research to the contrary.