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

Among other 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 ...

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

The House is scheduled to vote today on a healthcare bill that doesn’t include extending enhanced subsidies for Affordable ...

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

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

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

Altera Digital Health's Kevin Ritter says the company's platform unifies and reformats clinical, claims and patient data so it can be used more easily by AI and analytics tools that provide clinicians ...

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

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

In September, the Oklahoma Attorney General’s Office announced a $32 million settlement with CVS Caremark, resolving claims ...