Consolidation among health insurers has damaging effects on independent physician practices and their patients, according to ...

The probe began after STAT and others reported on UnitedHealth's strategies to boost profits in Medicare Advantage.

The rise of vibe coding has displaced the need for some software. Smart marketing has benefited this company's core business, enabling it to benefit from scale. The st ...

Anthropic announced healthcare AI tools connecting to insurance databases and patient records, intensifying competition with ...

Denials, audits and delayed payments are accelerating across ASC, and leaders say payer behavior has become more aggressive, ...

Difference in spending attributed to "coding intensity" and "favorable selection" ...

This week in cybersecurity: AI coding agents with exploitable vulnerabilities, cybercrime rings operating like professional ...

Affiliates of Kaiser Permanente have agreed to pay $556 million to resolve allegations that they improperly boosted Medicare ...

For example, the No UPCODE Act, introduced by Senators Bill Cassidy (R-LA) and Jeff Merkley (D-OR), would eliminate the use of health risk assessments used to boost coding intensity and utilize two ...

Insurance verification expansion helps healthcare practices address eligibility challenges before patient visits.

As much as hospital executives would like to bill their patients quickly, healthcare’s billing processes are complicated and ...

In a groundbreaking initiative, Insurance Regulatory Commission of Sri Lanka (IRCSL), announced an ambitious mission aimed at ...