Employers are becoming more interested in switching to a pharmacy benefit manager they perceive as being more transparent than the “big three,” according to new data published by the National Alliance ...
An AMA report and other survey findings point to a healthcare AI landscape that is advancing unevenly across stakeholders.
Thirty-seven percent of health systems are using generative AI within the rev cycle and 45% are applying it to denial-related ...
The initiative from the health system – a large provider of Medicaid services in Connecticut – is to ensure that patients who ...
UnitedHealth Group's Optum Division will acquire a medical practice in Massachusetts, according to Seeking Alpha. The company's Atrius Health affiliate has reached an agreement to acquire Acton ...
Humana has become the latest insurer to be sued over allegedly using artificial intelligence to deny care, with a class action lawsuit claiming the company's nH Predict AI model was used to deny care ...
Meaningful progress requires alignment across providers, payers, EHR developers and others, not isolated adoption, CMS says.
Three-quarters of U.S. healthcare providers and payers increased their IT spending this past year, with artificial intelligence (AI), cybersecurity and IT infrastructure among the chief areas of ...
Financial implications do not include high-stake bonus payments, but NIH data shows patients are willing to pay more, and ...
As CFO and vice president of the Methodist Health System, Jeff Francis looks at implementing AI tools that make a return on investment. And in the revenue cycle, he sees the biggest bang for the buck ...
The Centers for Medicare and Medicaid Services is implementing a six-month, nationwide moratorium on new Medicare enrollment for hospices and home health agencies. The stoppage is part of efforts of ...
Hospitals and health systems have been challenged by lower collection rates from insured patients and higher initial denial rates, which created financial headwinds in 2024, according to data from ...
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