Physicians get a 2.5% pay increase in the 2026 Medicare Physician Fee Schedule Final Rule released by the Centers for ...

A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...

Meeting budgets and deadlines may not reflect the scalability and viability of AI projects, according to HIMSS' Rob Havasy and PMI's Karla Eidem; leaders must align stakeholders, own outcomes and ...

Pharmacy benefit manager Prime Therapeutics is expanding its partnership with Sempre Health, a company that applies discounts at the pharmacy counter for people taking single-source drugs for chronic ...

When open enrollment begins on November 1 for Affordable Care Act health insurance, consumers may face sticker shock, and not ...

Texas Medical Center Innovation has picked 11 startups for a six-month program that helps to advance clinical and commercial ...

The Chief AI Officer is the latest link between IT and clinical care, as CMIOs were needed 20 years ago during the push to EHR adoption, says Christopher Kunney, a partner at IOTech Consulting.

Centene saw a net loss of $6.6 billion in Q3 despite slightly outperforming in the quarter, with the loss linked to a $6.7 ...

Beneficiaries struggle to make a decision when faced with so many choices on cost and coverage and often seek assistance from ...

According to Dr. Srinivasan Suresh of UPMC Children's Hospital, an AI tool developed in-house is hoping to identify sepsis earlier in patients, and others are being tested for use in autism, ADHD and ...

The Cigna Group recorded $1.87 billion in profit in Q3, beating analysts’ expectations as shares ticked up prior to the ...