If a lower-court ruling ruling stands, plans will have no defense against irrational claim-fight awards, the groups say.
This session moves beyond theory to give you a proven 10-step framework for building a business case that speaks the CFO's ...
This projection marks the fourth consecutive year of elevated health care cost trends approaching double digits and extends ...
Forty-four percent of health plan and health system leaders are considered AI scalers who expand and integrate AI ...
The agency is considering a risk-based approach that would account for how independently a device acts and the potential harm ...
New Hampshire Insurance Commissioner David Bettencourt made that point in a new memorandum sent to the state's health ...
Based on that standard, Aramark has made plausible claims that the health plans' TPA now has "money wrongly held," and that ...
Mark Bertolini, the chief executive officer of Oscar Health, an active ICHRA market player, has predicted that the rise of a ...
The insurer told state officials that the hospital frequently wins arbitration cases, often for compensation that is four or ...
After earning a medical doctorate from the University of New Mexico, Overton completed a general surgery residency at Johns Hopkins University while also earning a Ph.D. in clinical investigation.
Three judges at the 4th U.S. Circuit Court of Appeals agreed Tuesday that Gilead Sciences, the manufacturer of the HIV drug ...