Revenue cycle leaders focus more attention on front-end access as Innovaccer research estimates a 400-bed health system loses ...

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 ...

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 with UCI Health, the health system arm of the University ...

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 ...

Payers are addressing over-payments from every computer click and providers are offsetting denials by deploying AI for the ...

The not-for-profit insurer said it is exiting the individual market across all states and the state of Montana across all ...

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 ...

Insurer is eliminating prior auth for many diagnostic procedures, routine surgeries, and cardiology, neurology, pulmonology and orthopedic specialty care.

Physician and medical student leaders at the Annual Meeting of the American Medical Association House of Delegates have approved policies aimed at fighting for greater insurer accountability and ...