The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

According to CMS, they should review Medicare Summary Notices and Explanation of Benefits for any unfamiliar charges or services, and report any suspicious activity to 1-800-MEDICARE (1-800-633-4227) ...

Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.

Data gives insights but that information works best when it can be seen by a customer service representative during a patient interaction, says Casey Williams, senior VP of patient engagement at ...

A telehealth provision in bill makes permanent first-dollar coverage for High-Deductible Health Plan-Health Savings Accounts, ...

Health and Human Services Secretary Robert F. Kennedy Jr. has said the United States will cease making contributions to Gavi, ...

In the mid revenue cycle, AI makes more accurate and efficient decisions, ensuring hospitals get reimbursed the amount ...

AdvancedMD and NGA Healthcare have partnered to help independent medical practices get higher reimbursement rates from payers ...

Phantom Neuro has developed a sensor device that wirelessly records electrical activity so that a person who has a prosthetic ...

Almost three-quarters of respondents say they're concerned specifically about revenue growth and operating profitability.

The Walgreens Boots Alliance/Sycamore megadeal contributed about 28% of all disclosed deal value for the quarter.

UnitedHealth Group subsidiary Optum is launching AI Marketplace, a healthcare-specific artificial intelligence platform ...