Increasingly, payers are using AI and data analytics for member interactions and for provider networks based on outcomes and ...

The penalty for non-compliance is the loss of tax-exempt status for a not-for-profit hospital for a year, says Hal Andrews, CEO of Trilliant Health.

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

Clinician frustration also remains a significant barrier to adoption. CIOs reported that the top complaints about AI tools from clinical staff include poor integration between systems (34%), lack of ...

The American Public Health Association and others challenged the cancellation of the research grants that funded biomedical research.

Tax policy has shifted drug manufacturing to Switzerland, Ireland and Germany, says Johns Hopkins expert.

Humana and UnitedHealth Group have agreed to greater oversight of in-home clinical assessments made by nurses in the Medicare Advantage program. Humana told congressional staffers ...

Health and Human Services Secretary Robert F. Kennedy Jr. has appointed eight new members to the Advisory Committee for Immunization Practices two days after firing all 17 members. Kennedy named the ...

The bill keeps provisions that are expected to cut $800B in Medicaid funding while adding more stringent work requirements.

Blue Shield of California has announced a collaboration with booking platform Zocdoc to allow members to schedule in-network, in-person and virtual care appointments directly on t ...

A generative artificial intelligence system developed in-house at Northwestern Medicine is boosting productivity by identifying life-threatening conditions in milliseconds. This could help with a ...

At AHIP 2025 in Las Vegas this week, Quest Analytics and Arcadia announced a data integration partnership that is expected to give payers the ability to build more competitive net ...