Kathy Saunders, senior vice president of revenue cycle management at Redefine, speaks about partnership with AI orchestration ...

Trump's administration won't seek new bids to repair the Lincoln Memorial Reflecting Pool Here's The Difference Between A Cemetery And A Graveyard World Cup 2026: USMNT reacts after FIFA's stunning ...

States continue to lead regulation of artificial intelligence (AI) in healthcare in 2026, enacting laws that govern insurers' use of AI in prior authorization and claims decisions, increase ...

Major payers are quietly cutting reimbursement by automatically adjusting the complexity codes on claims before payment clears. In the past year, Cigna, Aetna, Anthem and BCBS of Massachusetts have ...

Emergency medicine (EM) has always been subject to payer scrutiny, but today’s reimbursement pressure is different: it is more aggressive, more automated and less transparent. Across the country, EM ...

Gov. Abigail Spanberger traveled to Northern Virginia on Wednesday to sign a slate of bills aimed at reducing healthcare costs, ranging from insurance claims reform to targeted prescription drug ...

“There really is this increased compliance burden on health insurers to demonstrate that they’ve conducted their diligence on these programs,” said Dan Silverboard, a partner at Holland & Knight. As ...

Pharmacy leaders say the future of the profession will not hinge on any single technology or policy change, but on whether the workforce, financial model and care delivery structure evolve fast enough ...

Maryland's Insurance Administration fined Cigna $80,000 and ordered the insurer to stop automatically downcoding evaluation and management (E/M) claims without formally disputing them with providers, ...

Philadelphia-based health system Jefferson Health is suing Aetna, claiming the payer is unfairly reducing payments for some hospital stays under Medicare Advantage. Aetna said that it has done nothing ...