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.

AI moves the old concept of "chase to collect" to predicting and prevention, said Brian Kenah, CTO of EnableComp.

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

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 ...

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

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

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 ...

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

CVS Health's earnings in the first quarter were bolstered by its insurance segment, Aetna. The company on Wednesday reported a 12.5% adjusted operating income increase in its Health Care Benefits ...

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