New bipartisan legislation introduced by two U.S. Representatives would require Medicare Advantage to “adequately reimburse” ...

Medicare Advantage markets are very concentrated across the U.S., with 79% of counties considered “high concentrated” and 18% ...

Health insurer Humana has said it’s engaging in efforts to streamline the prior authorization process, in part by approving ...

Jason Smith, venture acceleration fellow at MATTER, urged caution when investing in the AI space as the best means of achieving internal ROI.

The Department of Health and Human Services has directed the Organ Procurement and Transplantation Network (OPTN) to begin ...

Only a few days after a federal judge struck down Humana’s lawsuit challenging the Medicare Advantage star ratings system, ...

The Congressional Budget Office has said that the One Big Beautiful Bill Act, which was signed into law by President Trump on July 4, will add $3.2 trillion to the national debt over a 10-year ...

Dr. Ryan Sadeghian, chief medical information officer at the University of Toledo, said genAI allows for better clinical ...

Teladoc Health is launching a new employee assistance program (EAP) called Wellbound, which it said is designed to promote a ...

The Centers for Medicare and Medicaid Services conducted a recent analysis of 2024 enrollment data and claims to have ...

Ohio Health Chief Nursing Officer Duane Perry said technology is redefining the role of the bedside nurse, allowing for experienced nurses to train new recruits and even join them virtually at the ...

Insurers are likely to propose sharp increases in premiums for Affordable Care Act plans next year, according to a new report ...