The exits are part of Humana's effort to return its Medicare Advantage business to a sustainable pretax margin of at least 3% ...

RWJ Barnabas Health and Robert Wood Johnson Medical School lead researcher Dr. Thomas Nahass details the AI tool that has ...

The state alleges a claims-processing platform crashed on its first day and when running, could not distinguish between ...

Mass General Brigham (MGB) in Somerville, Massachusetts, has entered into a partnership to expand the Benson-Henry Institute for Mind Body Medicine's Intensive Cardiac Rehabilitation program, one of ...

Zaw Thet, Exer AI CEO and co-founder, discusses how the company uses edge technology and mobile devices to help clinicians ...

Healthcare performance improvement giant Vizient has announced the retirement of Curt Nonomaque, president and CEO, after nearly 15 years of leadership. Vizient's current President, Chief ...

The Colorado health system has been unable to submit nearly $4 million in claims for care provided to people detained by the ...

Real-time prior auth checks with United Healthcare, Network Health, Aetna, and other health insurers are being done through ...

The settlement resolves allegations that the Humana-owned provider submitted unsupported diagnosis codes that increased ...

Adults over age 55 treated with the Eli Lilly GLP-1 drug had lower rates of hospital admissions and emergency department ...

SCAN Health Plan CEO Dr. Sachin Jain talks about why now is a good time to invest in a Medicare Advantage plan.

Expert Leigh Poland dives into what needs to be done to meet the Oct. 1 deadline to avoid miscoding denials and over-coding ...