Will AI replace healthcare jobs? Not exactly. Learn which roles face the greatest disruption, which remain resilient, and how ...

This fully-automated, quality-driven utilization management (UM) solution empowers health plans to seamlessly transition specialist groups toward value based care by directly rewarding optimal ...

GEICO filed two No-Fault fraud suits the same day, seeking to recover millions it says it paid on medically unnecessary ...

More than two and a half years after the federal agencies published the Federal Independent Dispute Resolution (IDR) Operations proposed rule, ...

Of the roughly 1 million disputes taken through the law's arbitration process in Q2 2025, around 129,000 were for lab codes, with payments for basic tests averaging hundreds of dollars.

Changes will go into effect Jan. 1, 2027, and aim to improve care delivery and data for maternal health outcomes.

In the brief history of AI security, the prompt injection has quickly become the top threat. Large language models are ...

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

Some people believe that certain professions are vastly overpaid. This depends a lot on how much value you think they bring ...

What's CODE SWITCH? It's the fearless conversations about race that you've been waiting for. Hosted by journalists of color, our podcast tackles the subject of race with empathy and humor. We explore ...

The supplementary care model encourages use of health tech to boost patient outcomes for prevalent chronic conditions in Medicare patients. This month sees the start of a new Centers for Medicare & ...