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

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

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

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

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

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

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

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

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

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

In this new leadership role, Owen Plietz will oversee hospital operations, pharmacy services, nursing, continuum of care and ...

Leaders are counting on genAI for financial improvement but many health systems have yet to adopt it for RCM, report says.