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.

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 ...

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.

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

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 ...

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

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 ...

The Centers for Medicare and Medicaid Services is implementing a six-month, nationwide moratorium on new Medicare enrollment for hospices and home health agencies. The stoppage is part of efforts of ...