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

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.

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.

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

CMS distributed $3.3B to providers experiencing revenue disruptions, including $2.2B to hospitals, report says.

Accrete Health’s partnership with Atalan is aimed at improving clinical retention, the patient experience and outcomes.

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

Tools such as patient portals, electronic health records (EHRs) and telehealth have become foundational for clinical ...

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

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