Proposed rule increases requirements for price comparison tools by aligning them with consumer protections established under ...

Reviewers looked at how the company manages patient care and, reportedly, prior authorization requests by healthcare ...

The longer duration, along with improved benchmarks and risk adjustment, is expected to attract a broader range of ACOs.

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

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

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

CMS distributed $3.3B to providers experiencing revenue disruptions, including $2.2B to hospitals, report says.

AI, virtual care and cybersecurity were hot topics in 2025, but HIMSS Media editors talk about how regulatory uncertainty, reimbursement cuts and affordability concerns may impact health systems in ...

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

The ACA subsidies that kept premiums lower for millions of marketplace enrollees will expire at the end of this year, increasing and in many cases doubling ACA premiums starting in 2026. Many ...

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.