Audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.

Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising ...

CIOs and other IT leaders this year are expected to explore practical applications for AI, such as use in administrative ...

Caremark, Express Scripts, Optum and their GPOs created a rebate system that boosted PBM profits, FTC alleges.

Feinberg noted key factors driving the adoption of AI in healthcare are the maturation of use cases that drive meaningful ROI ...

The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries.

Startup company Particle Health, an intelligent data platform that aggravates patient data and sends it to healthcare ...

OIG identified systemic issues that impair Medicaid's ability to root out fraudulent activities and offered several ...

The Department of Health and Human Services' Administration for Strategic Preparedness and Response (ASPR) and the U.S.

Deploying AI needs a strategy for use cases that starts with identifying problems that need to be solved, says Michael ...

Oak Street Health, a subsidiary of CVS, is paying $60 million to the federal government to resolve allegations that it ...

The awards, HRSA says, will expand the number of nurses and primary care physicians while increasing behavioral health ...