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

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

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

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.

On January 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the ...

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

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 ...

Shadow AI is the unauthorized use of AI tools by employees within an organization. This is a bigger issue than most ...