The core issue is a structural mismatch between what it takes to run a primary care practice versus what the system pays for ...

AI is taking hold as major driver in improving the member and provider experience, increasing productivity and reducing administrative burden.

The goal is to streamline the time for payers to approve prior authorizations, for patients to get their care and for providers to get paid, says Lalithya Yerramilli, SVP of Payment Solutions for ...

Despite a reported 19.4% drop in profit for the first quarter, Elevance Health's financial results exceeded expectations. For ...

Hospitals must balance financial pressure with clinician wellbeing as cost-first strategies are linked to burnout.

Mt. San Rafael CIO Michael Archuleta says that nearly half of healthcare organizations lack basic cyber awareness training for employees and calls for bolstering the "human firewall" through ...

David Lareau, Medicomp Systems CEO, explains that deterministic, rules-based AI models can validate the probabilistic, often inconsistent outputs that LLMs deliver to avoid errors in clinical ...

The public comment period is now closed for a Department of Labor proposed rule for improving transparency into pharmacy ...

Artisight Chief Nursing Officer Karie Ryan discusses her company's AI ambient intelligence offerings that combine audio and video, sensors and computer vision to create a smart hospital room that aims ...

As global healthcare leaders develop new ways of using AI, HIMSS helps assess which techniques are working and translates them into best practices so that smaller organizations can learn from them, ...

In a survey of CFOs and financial leaders, 72% are reporting margins of 2% or lower, a razor-thin profit percentage more ...