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 ...

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

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

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

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

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

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

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