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.

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 ...

In the best case scenario, hospitals “are getting 20% less than the lowest workman’s comp fee schedule in the country,” says ...

A relatively new form of H3N2 identified this year called Clade K has resulted in increased cases, says Andy Pekosz of the Johns Hopkins Bloomberg School of Public Health.

Atropos Health CEO Brigham Hyde says the company's AI Evidence Agent integrates directly into Microsoft Teams to provide tumor boards with concise, citation-backed guidance tailored to patient data in ...

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

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 ...

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 ...