Reviewers looked at how the company manages patient care and reportedly, prior authorization requests by healthcare providers ...

The longer duration, along with improved benchmarks and risk adjustment, is expected to attract a broader range of ACOs.

The ACA subsidies that kept premiums lower for millions of market place enrollees will expire at the end of this year, increasing and in many cases, doubling, ACA premiums starting in 2026. Many ...

AI, virtual care and cybersecurity were hot topics in 2025, but HIMSS Media editors talk about how regulatory uncertainty, reimbursement cuts and affordability concerns may impact health systems in ...

M&A landscape will regain strength as organizations improve in quality and leverage technology to attract buyers, PwC says.

AIwithCare features a software platform that uses generative AI to screen patients for clinical trial eligibility.

All community and independent pharmacies in the Optum Rx network are transitioning to cost-based contracts.

CMS distributed $3.3B to providers experiencing revenue disruptions, including $2.2B to hospitals, report says.

Among a number of moves at Humana, former Amazon VP of Healthcare Aaron Martin will become president of Medicare Advantage.

Accrete Health’s partnership with Atalan is aimed at improving clinical retention, the patient experience and outcomes.

In the best case scenario, hospitals “are getting 20% less than the lowest workman’s comp fee schedule in the country,” says ...

On January 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the ...