Burdensome payment policies, denials and reimbursement delays made it "financially and operationally unsustainable" to ...

Nearly 75% of the primary health professional shortage areas are in rural or partially rural areas, AHA says. The American ...

AI moves the old concept of "chase to collect" to predicting and prevention, said Brian Kenah, CTO of EnableComp.

Elevance Health has announced management changes it said are designed to strengthen execution across Carelon and Health Benefits. Mark Kaye, executive vice president and CFO, will expand his ...

UnitedHealthcare is eliminating authorization requirements for 30% of healthcare services that previously required insurer ...

People insured through Medicare can now access PillPack from Amazon Pharmacy to get access to presorted medication, according to the retailer. Amazon said that presorted, labeled medication packets ...

The latest crackdown on Medicaid fraud directs states to submit a plan within 30 days on a provider revalidation strategy.

The Centers for Medicare and Medicaid Services is extending the application deadline for drug manufacturers to apply to the ...

Healthcare intelligence company Machinify has completed its acquisition of Performant Healthcare, a company that manages healthcare payment integrity. The deal, worth $670 million, was engineered to ...

The pain continues for health insurers as they report revenue and earnings below expectations, driven by high medical costs and a low Medicare Advantage reimbursement rate. Elevance Health, formerly ...

Pfizer, on behalf of its wholly-owned subsidiary Biohaven Pharmaceutical Holding Company, has agreed to pay close to $60 million to resolve kickback allegations involving payment to providers. Prior ...