Patrick Lane, Health Gorilla president and COO, says that, without a national patient identifier, healthcare providers struggle with verifying patients' identities and matching them to the correct ...

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 ...

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

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

Special needs plans (SNPs) enrollment is rising and now accounts for 21% of all MA enrollees. According to a new KFF report, that's up from 13% in 2018, when SNPs became a permanent fixture in the ...

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 ...

According to Michael Martin, RapidSOS founder and CEO, the company's platform connects data from billions of devices to help coordinate emergency responses and can even redirect 911 callers to ...

The projected average total Part D beneficiary premium is projected to decrease by 1.8% in 2024, from $56.49 in 2023 to $55.50 in 2024, according to an announcement Monday from the Centers for ...

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 ...

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 ...