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

New CMO Dr. Shantanu Nundy was formerly with Accolade and Evolent Health and has advised organizations such as the FDA and ...

Rural Health Transformation Fund investments in Pennsylvania and South Dakota will help fast-track IT modernization and ...

SCAN Health Plan and Costco Wholesale Corporation are partnering on selling Medicare Advantage products in two states and a ...

CFOs are expected to meet aggressive margin targets and demonstrate tangible returns on AI but their responsibilities are ...

Federal law requires nonprofit hospitals to maintain financial-assistance policies but does not set specific eligibility or ...

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

Earl Shaw, Renaissance Benefits CIO, discusses how "humanistic technology," or AI agents handling repetitive work with human ...

Rapidly evolving AI models often come with higher prices, and Elsevier's Rhett Alden says unpredictable consumption-based ...

AMA says it would “vigorously defend the AMA’s intellectual property rights to ensure the continued access physicians and ...

Elevance Health has entered into an agreement to acquire Indiana University Health Plans, a managed care organization created by Indiana University Health. After the acquisition closes, IU Health ...

Centene CFO Drew Asher has announced that he will step down at the end of the year and retire at the end of 2027. Lincoln Financial executive Chris Neczypor has been named his successor. Neczypor is ...