Financial implications do not include high-stake bonus payments, but NIH data shows patients are willing to pay more, and ...

The initiative from the health system – a large provider of Medicaid services in Connecticut – is to ensure that patients who ...

Thirty-seven percent of health systems are using generative AI within the rev cycle and 45% are applying it to denial-related ...

The Centers for Medicare and Medicaid Services is implementing a six-month, nationwide moratorium on new Medicare enrollment for hospices and home health agencies. The stoppage is part of efforts of ...

Meaningful progress requires alignment across providers, payers, EHR developers and others, not isolated adoption, CMS says.

Memorial Healthcare System's Jesus Diaz says seeking clinicians' direct input on their workflow needs during the development stage helped the organization successfully deploy new smartphones at a ...

Dr. Patsy McNeil is a practicing physician and executive vice president and chief medical officer of Adventist HealthCare, a Maryland-based health system with three acute-care hospitals on the East ...

UnitedHealthcare is eliminating authorization requirements for 30% of healthcare services that previously required insurer ...

Insurers denied more claims on clinical grounds in 2025 compared with 2024, leading to a 25% increase in net revenue leakage at hospitals, according to a new report by Kodiak Solutions. Denials and an ...

AI moves the old concept of "chase to collect" to predicting and prevention, said Brian Kenah, CTO of EnableComp.

Optum Rx has announced that it is replacing the traditional pharmacy benefit manager model with a transparent, fee‑based ...