Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.

Data gives insights but that information works best when it can be seen by a customer service representative during a patient interaction, says Casey Williams, senior VP of patient engagement at ...

For hospital-based ESRD facilities, CMS projects an increase in total payments of 1.5%, and for freestanding facilities, an increase in total payments of 1.9%.

Health and Human Services Secretary Robert F. Kennedy Jr. has said the United States will cease making contributions to Gavi, ...

In the mid revenue cycle, AI makes more accurate and efficient decisions, ensuring hospitals get reimbursed the amount ...

A telehealth provision in its bill makes permanent first-dollar coverage for High-Deductible Health Plan-Health Savings Accounts, says ATA.

Clinician frustration also remains a significant barrier to adoption. CIOs reported that the top complaints about AI tools ...

Health insurers, including Humana, Elevance and CVS Health, have committed to a number of actions meant to simplify and ...

To achieve its goal, Humana told investors it's set several targets, including increasing preventative care visits by 20% ...

AdvancedMD and NGA Healthcare have partnered to help independent medical practices get higher reimbursement rates from payers ...

Overpaying for GLP-1 medications is extremely common, with a new data analysis of 102,166 drugs showing that 92% of those ...