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 ...

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.

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

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 ...

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

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

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 ...

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

Memorial Healthcare System's Jesus Diaz says seeking clinicians' direct input on their workflow needs during the development stage helped the organization successfully deploy new smartphones at a ...

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

As CFO and vice president of the Methodist Health System, Jeff Francis looks at implementing AI tools that make a return on investment. And in the revenue cycle, he sees the biggest bang for the buck ...

More than a quarter of health system financial leaders are moving AI pilots to production-scale deployments across their revenue cycles, according to the Healthcare Financial Management Association.