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

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

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 ...

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

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 ...

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 ...

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

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

Elevance Health has announced management changes it said are designed to strengthen execution across Carelon and Health Benefits. Mark Kaye, executive vice president and CFO, will expand his ...

Burdensome payment policies, denials and reimbursement delays made it "financially and operationally unsustainable" to ...

CMS and DOGE are aligning stakeholders to drive greater momentum toward fast, seamless clinical data sharing, according to Bob Watson, Health Gorilla CEO. Healthcare Finance Newsletters give ...