The AI arms race reshaping healthcare intensifies friction between payers and providers, impacting revenue cycles and patient care efficiency.
When Cone Health set out to overhaul its pharmacy automation infrastructure in 2024, the health system knew the decision would impact medication management across its entire enterprise for years to ...
A defendant’s prior authorization of medical treatment does not bar it from submitting subsequent requests for the same treatment to ...
In North Carolina, the nonprofit Counterforce Health designed an AI assistant to help patients appeal their denied health ...
Leah Kovitch was pulling invasive plants in the meadow near her home one weekend in late April when a tick latched onto her ...
Beginning Jan. 1, 2026, Optum Rx, the pharmacy benefit manager of UnitedHealthcare, will reduce reauthorizations for an ...
US Foods Holding Corp. (NYSE: USFD) ("US Foods") today announced that the Company and Performance Food Group (NYSE: PFGC) ...
None of the initial treatments prescribed by his doctors had eradicated the cancer. But a glimmer of hope came in early 2025, ...