New bipartisan legislation introduced by two U.S. Representatives would require Medicare Advantage to “adequately reimburse” healthcare providers for services offered to enrollees. Introduced by U.S.

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

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

The HIMSS Professional Development Committee is engaging with local chapters and certification committees to ensure that its global education offerings reflect real-world training gaps, explains ...

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

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

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 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 ...

Sanford Health, headquartered in Sioux Falls, North Dakota, and North Memorial Health, in Robbinsdale, Minnesota, have agreed to merge as a single nonprofit health system, according to Sanford Health.

UnitedHealthcare is eliminating authorization requirements for 30% of healthcare services that previously required insurer ...

Optum Rx has announced that it is replacing the traditional pharmacy benefit manager model with a transparent, fee‑based structure. The model, being offered to every Optum Rx PBM customer, changes how ...

Brian Evanko, CEO and chief financial officer of Cigna's Cigna Healthcare arm, has been named president and chief operating officer of the Cigna Group as the company shuffles its top leadership. The ...