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 ...

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 ...

Physicians get a 2.5% pay increase in the 2026 Medicare Physician Fee Schedule Final Rule released by the Centers for Medicare and Medicaid Services on Friday. The rule also includes provisions for ...

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 ...

For those paying the full cost of medications, the new model will reduce the monthly cost for brand-name prescriptions by an ...

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

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

CVS Health on Wednesday recorded a net loss of $3.99 billion during the third quarter, and while the company has raised its ...

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

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 ...

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