The nationwide rollout of the risk-based survey process follows a pilot conducted across 22 states. CMS estimates that about ...
The insurer will discontinue small- and large-group plans in California and Oregon as it concentrates on government-sponsored ...
Ankit Jain, Infinitus CEO and co-founder, recommends that healthcare organizations control which actions AI agents can take ...
UnitedHealthcare will eliminate 30% of its prior authorization requirements beginning Oct. 1, removing the requirements from ...
The exits are part of Humana's effort to return its Medicare Advantage business to a sustainable pretax margin of at least 3% ...
The state alleges a claims-processing platform crashed on its first day and when running, could not distinguish between ...
The projected increase would be the largest since 2003, even after employers make changes intended to control spending.
AI's continued evolution means digital health founders must expect jobs and processes to change regularly as more workflows ...
The settlement resolves allegations that the Humana-owned provider submitted unsupported diagnosis codes that increased ...
The partnership with North Memorial Health creates a fully integrated health system in Minnesota at a time when workforce ...
CMS has not approved three state-directed payment programs totaling approximately $9.8 billion for the fiscal year that began ...
Ten California providers allege the insurer paid about 16% of covered charges for care delivered to 83 patients.
Some results have been hidden because they may be inaccessible to you
Show inaccessible results