The money must be spent on sustainable initiatives such as reducing avoidable readmissions or length of stays, expenses that need data and analytics to start bending the cost curve, says Anna Basevich ...

Proposed rule increases requirements for price comparison tools by aligning them with consumer protections established under ...

In the best case scenario, hospitals “are getting 20% less than the lowest workman’s comp fee schedule in the country,” says ...

AIwithCare features a software platform that uses generative AI to screen patients for clinical trial eligibility.

On January 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the ...

M&A landscape will regain strength as organizations improve in quality and leverage technology to attract buyers, PwC says.

Among a number of moves at Humana, former Amazon VP of Healthcare Aaron Martin will become president of Medicare Advantage.

Reviewers looked at how the company manages patient care and, reportedly, prior authorization requests by healthcare ...

All community and independent pharmacies in the Optum Rx network are transitioning to cost-based contracts.

The longer duration, along with improved benchmarks and risk adjustment, is expected to attract a broader range of ACOs.

Shadow AI is the unauthorized use of AI tools by employees within an organization. This is a bigger issue than most ...

Non-labor expense increases of 6% to 10% over the past year were driven in part by tariffs, says Kaufman Hall report.