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 ...

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

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

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

The ACL Caregiver AI Prize Competition seeks to harness AI technology to bolster caregiving efforts across the U.S.

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

Digital quality measures are expected to enable alignment between clinical care, reporting requirements, and program accountability ...

On February 2, 2026, Carbon Health Technologies, Inc., a California-based urgent care provider, along with 28 affiliated debtors, voluntarily filed for relief under Chapter 11 of the United States ...

Pilots representing 45 exchange partners across nine states will inform future standards, technical specifications, and policy considerations ...

Bryon Frost, M.D., CMIO of South Carolina-based hospital system, says shifting to utilization-based pricing from a subscription model was the game-changer to unlock ROI ...