Key updates focus on stricter eligibility verification, enhanced enforcement against fraud, and aligning policies with legal ...

University of Maryland School of Medicine’s Andreea Creanga, M.D., Ph.D., discusses initiatives to eliminate preventable maternal deaths and severe maternal morbidity ...

Analysts Benjamin Cassity and Andy Paulsen discuss new report that shares client validations of firms’ offerings and a high-level look at client satisfaction ...

Building on previous research, the resources aim to streamline health data sharing by promoting standardized legal frameworks ...

As national interoperability frameworks advance, it’s becoming clear that ‘geofencing’ no longer fits the moment ...

Vast majority of initial denials were for administrative reasons, such as duplicate or incomplete claims or other submission errors, according to the Massachusetts Health ...

Premium increases are expected to lift insurance operating profits to at least $4.5 billion this year. President Brian Evanko ...

The 2026 Medicare ACO landscape features expanded participation, new models like LEAD, and a focus on advanced payment tracks ...

Kaiser Permanente and Renown Health have finalized their joint venture announced in September 2025 to operate a health plan ...

Last week, the U.S. Department of Health and Human Services (HHS) issued new guidance on how pharmaceutical manufacturers can ...

Deals with Aledade, Community Care Physician Network, and UNC Health Alliance represent the first phase of the Plan’s new preferred provider strategy ...

Early submissions in AI/HopGPT Challenge range from tools for coding and clinical documentation to solutions that could ...