OIG identified systemic issues that impair Medicaid's ability to root out fraudulent activities and offered several ...

The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries.

Startup company Particle Health, an intelligent data platform that aggravates patient data and sends it to healthcare ...

Feinberg noted key factors driving the adoption of AI in healthcare are the maturation of use cases that drive meaningful ROI ...

The Department of Health and Human Services' Administration for Strategic Preparedness and Response (ASPR) and the U.S.

Caremark, Express Scripts, Optum and their GPOs created a rebate system that boosted PBM profits, FTC alleges.

Medicare claims for catheters have increased and CMS found a rise in billings by a small group of durable medical equipment ...

The focus will be on ensuring rural communities have access to primary care, emergency services and specialty care.

The net effect is that Medicaid enrollment is higher than it was before the pandemic. But at 5% lower, enrollment among ...

Hospitals and health systems are increasingly turning to AI to enhance their revenue cycle management (RCM) processes as ...

CHAI has formed five working groups for best practices to build out an assurance standards guide. Later this fall it will ...

The two organizations are also growing their healthcare services to support Florida's veterans and service members.