Geisinger is partnering for an AI platform to better manage operating room time and staffing.
The AI platform by partner Optmed.ai analyzes billions of logistical data points to manage OR workflow. This allows for more clinical procedures, which boosts…
While premiums for employer-sponsored health insurance continue to rise each year, employers who have been engaged in novel strategies – such as value-based drug formularies and tiered provider networks based on price and quality – experienced lower-th…
A Dallas pharmacy owner who routinely billed insurance companies for headache sprays, pain creams and scar creams never dispersed to patients has been sentenced to 10 years in federal prison, according to the U.S. Department of Justice.
Community Health Systems took a financial hit for the third quarter due in part to the continuation of high payer denials, higher workforce expenses and the unanticipated setback of back-to-back hurricanes.
The American Medical Association and the Illinois State Medical Society (ISMS) filed a lawsuit last week against MultiPlan claiming the data analytics agency is at the center of an alleged price-fixing conspiracy with commercial health insurance compan…
The Change Healthcare cyberattack compromised the protected health information of at least 100 million people, according to The HIPAA Journal.
This represents a third of the population in the United States and makes the data breach the largest known br…
Unlike Q3 earnings reports from insurers more heavily in the Medicare Advantage market, Medicaid-based Molina Healthcare on Thursday released third quarter financials that beat expectations.
A new lawsuit filed in the Southern District of New York accuses Anthem Blue Cross Blue Shield of New York of maintaining a “ghost network” of doctors, with patients pursuing pricey out-of-network care and experiencing care delays due to inaccurate pro…
Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare Advantage Star Ratings.
Centene of Missouri and 10 affiliated plans such as Meridian Health Plan of Michigan and several Wellca…
This year, 389 healthcare institutions in the U.S. were attacked with ransomware, which caused network shutdowns, offline systems, rescheduled appointments and delays in critical procedures, finds a new report from Microsoft.
