The agentic AI platform works with EHR data to provide insights in care resource management, says Philipp von Gilsa, CEO of kontakt.io.

The U.S. Department of Justice has completed its 2025 National Health Care Fraud Takedown, which resulted in criminal charges ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

According to CMS, they should review Medicare Summary Notices and Explanation of Benefits for any unfamiliar charges or services, and report any suspicious activity to 1-800-MEDICARE (1-800-633-4227) ...

Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.

Data gives insights but that information works best when it can be seen by a customer service representative during a patient interaction, says Casey Williams, senior VP of patient engagement at ...

To achieve its goal, Humana told investors it's set several targets, including increasing preventative care visits by 20% ...

A telehealth provision in bill makes permanent first-dollar coverage for High-Deductible Health Plan-Health Savings Accounts, ...

Independent rural hospitals could lose an estimated $465 million in total patient revenue in 2026 due to federal Medicaid cuts, an average loss of $630,665 per hospital. Independent rural hospitals ...

Clinician frustration also remains a significant barrier to adoption. CIOs reported that the top complaints about AI tools ...

The Walgreens Boots Alliance/Sycamore megadeal contributed about 28% of all disclosed deal value for the quarter.

Health and Human Services Secretary Robert F. Kennedy Jr. has said the United States will cease making contributions to Gavi, ...