Like other payers, Centene flagged a mismatch between patient acuity and payment rates in Medicaid. But the insurer said a ...

MultiPlan, which denies the allegations, has been sued dozens of times over concerns the company is conspiring with health ...

Payers currently have a leg up when using AI to review claims, but providers could soon catch up, experts say.

Analysts expect Kamala Harris to largely continue the current approach to AI oversight, while Donald Trump’s promise to ...

Conservative planning and continued business growth helped Molina keep an ongoing mismatch between payment rates and member ...

The presidential election, loss of higher federal funding, inflationary pressures and other challenges are leaving state ...

The breach report from Change comes as data breaches in the healthcare industry affect more Americans and expose sensitive ...

Centene is emulating other insurers unhappy with how regulators handled quality ratings for 2025. The flurry of complaints is ...

Executives from Amazon, Walgreens, Blue Shield of California and PhRMA weighed in on how to fix the much-scrutinized pharmacy ...

The deal is Suki’s largest provider collaboration. Nearly 140,000 healthcare institutions use the Zoom platform.

Home health is already a lucrative market, and Providence expects demands for services to only grow as patients age, ...

The Better Medicare Alliance is warning of disruptions to care for America’s seniors, though MA premiums and major benefits ...