Nearly 53 million prior authorization requests were sent to insurers in 2024, compared with nearly 50 million in the prior ...

The full financial impact of the price hikes could exceed $67 million each year in two dozen markets, according to the new study published in Health Affairs.

Agent Assist, developed with Google Cloud, summarizes conversations between workers and beneficiaries while highlighting relevant information, like enrollees’ benefit and eligibility details.

The Senate passed a spending package Friday, but the measure is still awaiting House approval. House Speaker Mike Johnson ...

The temptation exists to frame this as an either-or choice: prioritize AI innovation or protect the environment. That framing ...

Artificial intelligence could rework the claims and reimbursement process, allowing faster decision-making, reduced errors ...

The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.

CommonSpirit, angling to insource its revenue cycle management functions, is offloading its minority share in Conifer back to Tenet. Tenet said the deal will create almost $2.7 billion in value.

The chief executives of UnitedHealth, CVS, Cigna and Elevance were pilloried for care denials, vertical consolidation and sky ...

Companies are hoping to reshore finances and double down on efficiency initiatives this year as several policy sea changes ...

This year should see improvements in Medicare Advantage and Affordable Care Act plans but continued pressure in Medicaid, ...

The for-profit hospital operator said it’s implementing a resilience plan to offset losses. Still, HCA anticipates its ...