Research released by the clinical AI company shows that its new dose verification tool outperformed general-use AI models, ...

The St. Louis-based insurer is adding onto a growing pile of lawsuits from insurers trying to get their quality scores ...

Insurers and employers are asking the Trump administration to stop recertifying No Surprises Act arbiters until the law’s controversial dispute resolution process is reformed. The Coalition Against ...

As a Jan. 1 deadline looms for payers to adopt new prior authorization tech, Epic’s Vice President of Value-Based Care Ryan ...

After a buoyant third quarter, Centene now thinks its Medicare business will break even one year ahead of schedule. Staffing ...

Cuts to federal programs and the loss of enhanced subsidies on the exchanges could deepen an existing healthcare ...

It’s at least the fifth insurer to turn to the courts in a bid to hike its ratings for next year. The lawsuits make ...

HealthSpan, the investment arm of Bon Secours, wants to take Surgery Partners private and absorb its 30-state outpatient ...

UPDATE: Aug. 23, 2023: Allina Health will "formally transition away” from its policy of interrupting non-emergency, outpatient clinic care for patients with significant debt, a company spokesperson ...

Audit screen-to-face time. Examine the ratio of time providers spend facing the computer versus the patient. Cross-reference ...

Enrollees must jump through more hoops to verify their income and residency status before receiving subsidies for Affordable ...

The major insurers are entering new Affordable Care Act markets as others are leaving the exchanges en masse, though in the ...