AI recommendations in coding capture 100% of what's sent out versus a manual process in which when staffers select subsets of ...

Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare ...

California-based Molina reported an 18% increase in revenue year-over-year, according to the earnings report. States have been reporting rate increases for Medicaid, according to a KFF report.

This year, 389 healthcare institutions in the U.S. were attacked with ransomware, which caused network shutdowns, offline ...

To the surprise of many patients, most of the doctors in this network don't accept their insurance plan, lawsuit alleges.

Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris ...

The layoffs come on the heels of an earnings call in which the company said it was exploring options after a star ratings hit ...

Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D ...

CEO Gail Boudreaux says cut points are a large factor driving the decline of plans rated four stars or higher.

Medical illustrators need to take complex information and edit out what is not the physician's focus, such as an injury. AI ...

Total direct federal costs of covering AOMs would increase from $1.6 billion in 2026 to $7.1 billion in 2034, CBO finds.

Earnings from operations of $8.7 billion for the three months ending Sept. 30 include $0.3 billion in unfavorable cyberattack ...