Three hospitals have sued CVS Health alleging the company redirected $250 million in savings from the 340B program. Mount Sinai Hospital, including St. Luke's-Roosevelt Hospital and Mount Sinai Beth ...

Meaningful progress requires alignment across providers, payers, EHR developers and others, not isolated adoption, CMS says.

Employers are becoming more interested in switching to a pharmacy benefit manager they perceive as being more transparent than the “big three,” according to new data published by the National Alliance ...

Providence Health Plan has announced it is ending most of its health insurance business beginning in 2027. This includes its Individual and Family business and Employer Group/Commercial plans.

Thirty-seven percent of health systems are using generative AI within the rev cycle and 45% are applying it to denial-related ...

UnitedHealth Group's Optum Division will acquire a medical practice in Massachusetts, according to Seeking Alpha. The company's Atrius Health affiliate has reached an agreement to acquire Acton ...

An AMA report and other survey findings point to a healthcare AI landscape that is advancing unevenly across stakeholders.

Dr. Patsy McNeil is a practicing physician and executive vice president and chief medical officer of Adventist HealthCare, a Maryland-based health system with three acute-care hospitals on the East ...

Financial implications do not include high-stake bonus payments, but NIH data shows patients are willing to pay more, and ...

Humana has become the latest insurer to be sued over allegedly using artificial intelligence to deny care, with a class action lawsuit claiming the company's nH Predict AI model was used to deny care ...

The initiative from the health system – a large provider of Medicaid services in Connecticut – is to ensure that patients who ...

Three-quarters of U.S. healthcare providers and payers increased their IT spending this past year, with artificial intelligence (AI), cybersecurity and IT infrastructure among the chief areas of ...