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

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

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

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

Dr. Patrick Conway, who was named CEO of Optum in May, is also taking on the position of leading Optum Health, according to a ...

The ambulatory surgical center market, aided by AI to enhance care coordination and surgical outcomes, is growing.

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

Health insurers, including Humana, Elevance and CVS Health, have committed to a number of actions meant to simplify and ...

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

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

Overpaying for GLP-1 medications is extremely common, with a new data analysis of 102,166 drugs showing that 92% of those ...

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) ...