None of the initial treatments prescribed by his doctors had eradicated the cancer. But a glimmer of hope came in early 2025, ...

Beginning Jan. 1, 2026, Optum Rx, the pharmacy benefit manager of UnitedHealthcare, will reduce reauthorizations for an ...

A defendant’s prior authorization of medical treatment does not bar it from submitting subsequent requests for the same treatment to ...

The AI arms race reshaping healthcare intensifies friction between payers and providers, impacting revenue cycles and patient care efficiency.

In North Carolina, the nonprofit Counterforce Health designed an AI assistant to help patients appeal their denied health insurance claims and fight large medical bills. The free service uses AI ...

Washington state is fining health insurance giant Regence Blue Shield over half a million dollars for disparities between its ...

The collaboration will focus on combining PwC’s managed services with AWS cloud and AI offerings, enabling health systems to build new RCM tools that boost performance and improve financial experience ...

The state is part of a pilot program that will incentivize reviewers who deny certain services deemed wasteful or ...

Significant injuries are, by their very nature, stressful. But that stress is typically compounded when it's wrapped up in ...

The second Trump administration has significantly ramped up immigration enforcement, putting pressure on federal, state, and ...