Payers currently have a leg up when using AI to review claims, but providers could soon catch up, experts say.

Conservative planning and continued business growth helped Molina keep an ongoing mismatch between payment rates and member ...

The deal is Suki’s largest provider collaboration. Nearly 140,000 healthcare institutions use the Zoom platform.

Providers reported challenges checking patients’ insurance coverage, filing prior authorization requests, and receiving ...

The presidential election, loss of higher federal funding, inflationary pressures and other challenges are leaving state ...

The Better Medicare Alliance is warning of disruptions to care for America’s seniors, though MA premiums and major benefits ...

Centene is suing the federal government over its 2025 Medicare Advantage star ratings, the latest in a string of lawsuits ...

RepuGen, a pioneer in healthcare reputation management, is pleased to announce the launch of AI-Powered Review Summaries. This innovative feature offers healthcare practices a streamlined approach to ...

Executives from Amazon, Walgreens, Blue Shield of California and PhRMA weighed in on how to fix the much scrutinized pharmacy ...

Redivus Health’s patented resuscitation software for hospitals is recognized in the 2024 KLAS Emerging Solutions Top 20 ...

Corazon, a Pittsburgh-based firm that offers consulting, accreditation, peer review, recruitment, and interim management for ...

Healthcare organizations will need to test models in their local environments, keep an eye on performance and work together to implement the technology, panelists said at HLTH.