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

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

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

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

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

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

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

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) ...

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

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% ...

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