A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...

Meeting budgets and deadlines may not reflect the scalability and viability of AI projects, according to HIMSS' Rob Havasy and PMI's Karla Eidem; leaders must align stakeholders, own outcomes and ...

Physicians get a 2.5% pay increase in the 2026 Medicare Physician Fee Schedule Final Rule released by the Centers for Medicare and Medicaid Services on Friday. The rule also includes provisions for ...

Pharmacy benefit manager Prime Therapeutics is expanding its partnership with Sempre Health, a company that applies discounts at the pharmacy counter for people taking single-source drugs for chronic ...

Texas Medical Center Innovation has picked 11 startups for a six-month program that helps to advance clinical and commercial ...

Providers know instantly what’s covered, payers receive more comprehensive claims and patients know their coverage before ...

New York Governor Kathy Hochul has set aside about $2.6 billion in state investments to strengthen and modernize electronic ...

For those paying the full cost of medications, the new model will reduce the monthly cost for brand-name prescriptions by an ...

Manufacturer EMD Serono is engaged by the Trump administration to bring the price of the medicine down by 84%.

CVS Health on Wednesday recorded a net loss of $3.99 billion during the third quarter, and while the company has raised its ...

When open enrollment begins on November 1 for Affordable Care Act health insurance, consumers may face sticker shock, and not ...