High utilization and claim costs, chronic conditions and the growing use of GLP-1 therapies continue to drive spending and ...

The watchdog found that most of the high-risk diagnosis codes it sampled were not supported by enrollees' medical records.

Singapore's Woodlands Hospital, a public health institution opened in 2024, was built as a smart hospital with one EMR and a ...

Insurers offset lower denials by recouping money through actions to claw back money from claims already paid, Kodiak analysis finds.

Two health systems will evaluate the system that gives guidance on emerging bottlenecks up to 72 hours in advance.

Flagler Health CMO Dr. Leon Anijar and CEO Albert Katz talk about how the company's AI-driven platform for musculoskeletal ...

OBBBA requirements will make it harder for those 19 to 24 to retain coverage because of their changing circumstances, ...

The organizations have also raised concerns about changes to practice expenses, same-day services and remote monitoring, ...

The insurer will discontinue small- and large-group plans in California and Oregon as it concentrates on government-sponsored ...

UnitedHealth Group has sold an ownership interest in some of its Florida WellMed clinics to private equity firm TPG.

Mass General Brigham Health Plan announced that it will remove Dana-Farber Cancer Institute from its Medicare Advantage ...

The nationwide rollout of the risk-based survey process follows a pilot conducted across 22 states. CMS estimates that about ...