Increasingly, payers are using AI and data analytics for member interactions and for provider networks based on outcomes and ...

The penalty for non-compliance is the loss of tax-exempt status for a not-for-profit hospital for a year, says Hal Andrews, CEO of Trilliant Health.

Clinician frustration also remains a significant barrier to adoption. CIOs reported that the top complaints about AI tools from clinical staff include poor integration between systems (34%), lack of ...

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

The ambulatory surgical center market, aided by AI to enhance care coordination and surgical outcomes, is growing.

The American Public Health Association and others challenged the cancellation of the research grants that funded biomedical research.

The bill keeps provisions that are expected to cut $800B in Medicaid funding while adding more stringent work requirements.

At AHIP 2025 in Las Vegas this week, Quest Analytics and Arcadia announced a data integration partnership that is expected to give payers the ability to build more competitive net ...

The Centers for Medicare and Medicaid Services is expanding Medicaid services to American Indian and Alaska Native communities by approving Medicaid State Plan Amendments (SPAs) i ...