The Central Florida provider manufactured fake diagnosis codes for its Medicare Advantage patients from 2020 to 2024, the DOJ ...

The COVID-19 pandemic highlighted the struggles of front-line healthcare workers including long-standing issues like staffing shortages and burnout. Hospitals still struggle with staffing, with over ...

Nearly half of adults don’t know whether AI has been used in their care, even as hospitals and doctors rapidly adopt the ...

The American Medical Association has released new medical codes for 2026 amid a growing debate about whether the medical group may have too much influence over the healthcare coding system. The AMA ...

Healthcare is organized around specialties, organ systems, and diseases. Patients experience it as one personal journey.

Monogram, a home health company, overcharged Medicare through contracts with Cigna and Humana by inflating diagnostic codes, according to the Justice Department.

The Department of Veterans Affairs is closer to its goal of adding the new electronic health record to all of its medical ...

Accelerating dispute volumes and sky-high award amounts are inflating how much independent dispute resolution is costing the ...

A survey from a doctor’s lobby says burnout is rising as a growing number of doctors are employed by corporations.

The goal of the restructuring is to cut back on bureaucracy to better serve Blue Shield’s members, said Kristina Leslie, the chair of the company’s board, in a statement. Blue Shield has been more ...

Resilience, not prevention, is key, analysts at the credit-rating agency said in a pair of new reports.

UPDATE: Dec. 18, 2023: Molina Healthcare and Bright Health agreed to lower the purchase price of Bright’s California Medicare Advantage plans to about $425 million, net of certain tax benefits. It's ...