The U.S. spends far more on healthcare than do other countries, yet it doesn't have the results to show for it. Despite the higher spending, life expectancy and other health metrics fare far worse in ...

Under a Medicare GLP-1 Bridge demonstration that runs for a limited time, starting July 1 individuals enrolled in Medicare ...

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

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 ...

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 ...

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 ...

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

Finance leaders at large and midsize U.S. organizations are entering 2026 with a more cautious economic outlook, but many continue investing in AI, digital transformation and acquisitions while ...

The Centers for Medicare & Medicaid Services has released an Interim Final Rule with Comment that gives work requirements for adults to obtain Medicaid coverage. Unless an applicant fits the criteria ...

Insurers are likely to propose sharp increases in premiums for Affordable Care Act plans next year, according to a new report from KFF. Early indications are that individual market insurers will be ...