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 ...

An AMA report and other survey findings point to a healthcare AI landscape that is advancing unevenly across stakeholders.

The Cigna Group recorded $1.87 billion in profit in the third quarter of 2025, beating analysts’ expectations as shares ticked up prior to the company’s earnings call Thursday morning. Touting the ...

Three hospitals have sued CVS Health alleging the company redirected $250 million in savings from the 340B program. Mount Sinai Hospital, including St. Luke's-Roosevelt Hospital and Mount Sinai Beth ...

Retailers are well-positioned to disrupt healthcare, with a new Definitive Healthcare report showing that retail clinics have seen a 200% increase in utilization over the past five years – higher than ...

Providence Health Plan has announced it is ending most of its health insurance business beginning in 2027. This includes its Individual and Family business and Employer Group/Commercial plans.

Employers are becoming more interested in switching to a pharmacy benefit manager they perceive as being more transparent than the “big three,” according to new data published by the National Alliance ...

Humana has become the latest insurer to be sued over allegedly using artificial intelligence to deny care, with a class action lawsuit claiming the company's nH Predict AI model was used to deny care ...

Amazon recently announced the introduction of pharmacy kiosks at One Medical offices in Los Angeles, prior to expansion in other areas. Starting in December, Amazon Pharmacy Kiosks will be available ...

Hospitals and health systems have been challenged by lower collection rates from insured patients and higher initial denial rates, which created financial headwinds in 2024, according to data from ...

Joe Accurso, vice president of Revenue Cycle at Northwell Health Labs, has overseen the implementation of artificial intelligence in Northwell's RCM that has created ...