A North Carolina program incentivizing hospitals to relieve patients’ medical debts has cut more than $6.5 billion in accrued debts for more than 2.5 million people since launching last summer. | The ...

Humana has lost a second lawsuit aiming to challenge the star ratings in Medicare Advantage (MA). | Humana has lost a second ...

Hospitals performed over 200,000 unnecessary back surgeries on older adults over a three-year period, and billed Medicare ...

With the signing into law of the One Big Beautiful Bill on July 3, U.S. healthcare is in for substantial changes. The sprawling bill will impact Medicaid and Medicare as well as the exchange ...

Verily is deepening its partnerships with health systems and academic medical institutions to power biomedical research. | ...

California Gov. Gavin Newsom signed into law legislation aimed at "reining in" pharmacy benefit managers, becoming the latest ...

Most employers offer coverage for mental health services, but where they fall short is in tracking whether those benefits are working, according to a new survey. | Most employers offer coverage for ...

The U.S. healthcare system depends on extensive data exchanges between payers, providers and stakeholders. Therefore, it's crucial that clearinghouses, which serve as the administrative backbone ...

How smarter, EMR-integrated ePA eliminates noise, speeds resolution, and sets the stage for touchless prior authorization.

Changes to prior authorization, charity care screening and corporate influence in medicine are on the way for Californian healthcare organizations. | Several bills signed this week by Gov. Gavin ...

Similar to Medicare, commercial insurers are seeing substantially higher prices when care is delivered in a hospital outpatient department as opposed to an ambulatory surgical center, according to | ...

Allara Health, a virtual women’s health provider, has expanded to all 50 states.  | The provider, specializing in women’s hormonal, metabolic and reproductive health, was in 30 states at the start of ...