Presbyterian Healthcare Services will stop offering most of Presbyterian Health Plan’s Medicare Advantage plans in 2027, citing financial losses and broader challenges in the Medicare Advantage market ...
The Department of Justice's Antitrust Division has filed a civil lawsuit challenging NewYork-Presbyterian's contract restrictions that the DOJ claims deny New Yorkers the choice of lower-cost ...
Under a Medicare GLP-1 Bridge demonstration that runs for a limited time, starting July 1 individuals enrolled in Medicare ...
Plans for the academic medical center and hospital include 70 ER bays and advanced operating suites and an extensive ...
CenterWell, Humana's senior-focused primary care division, will continue to expand throughout 2025, with plans to open centers in new metro areas, including Augusta and Savannah, Georgia; the Triad ...
Broken workflows and broken data pipelines will lead to biased AI and bad AI design, according to Dr. Deepti Pandita, CMIO and chief AI officer at the University of California Irvine. That’s why ...
The not-for-profit insurer said it is exiting the individual market across all states and the state of Montana across all ...
Payers are addressing over-payments from every computer click and providers are offsetting denials by deploying AI for the ...
Massachusetts has sued UnitedHealthcare Insurance Company, alleging the insurer defrauded the state's Medicaid program of at least $100 million by making older members appear sicker or more impaired ...
The Centers for Medicare & Medicaid Services has released an Interim Final Rule with Comment that gives work requirements for adults to obtain Medicaid coverage. Unless an applicant fits the criteria ...
Insurer is eliminating prior auth for many diagnostic procedures, routine surgeries, and cardiology, neurology, pulmonology and orthopedic specialty care.
The independent dispute resolution process is adding billions of dollars in wasteful spending, according to AHIP and the Blue Cross Blue Shield Association, reacting to a final rule on the independent ...
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