Cone Health has named Dr. Paul Krakovitz as its new CEO, following a nationwide search. He will join the health system on ...

The insurer was set to limit reimbursement, starting Jan. 1, 2026, for remote physiologic services to heart failure and ...

Making AI-driven changes adds $4 million to $6 million per 10,000 discharges each year, equaling tens of millions of dollars in additional reimbursement, says Todd Van Meter, CEO of Accuity.

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

Proposed rule increases requirements for price comparison tools by aligning them with consumer protections established under ...

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

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

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

Reviewers looked at how the company manages patient care and, reportedly, prior authorization requests by healthcare ...

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

The longer duration, along with improved benchmarks and risk adjustment, is expected to attract a broader range of ACOs.

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