Democrats are planning investigations into major healthcare topics if they win majorities in Congress this November.

Sumit Rana’s departure could be a significant leadership shakeup for Epic, as the president was viewed as a potential ...

Does AI hold up in retrospective risk adjustment once real customers put it to work? KLAS Research went and asked. RAAPID was ...

Addressing the cost means all parties must work from a shared reference, and clinical quality can be a powerful cost lever.

The rule, released Thursday, builds on Trump administration’s priorities, including cutting Medicare reimbursement for drugs ...

Mississippi has granted Centene, Molina and TrueCare new Medicaid managed care contracts, two years later than the state intended after the awards were tied up by challenges from UnitedHealth and ...

Payer contracts set reimbursement rates and govern the terms that ultimately shape financial performance. Industry estimates suggest providers may lose between about 3% to 5% of net revenue annually ...

Medicare is spending more on quality bonuses despite fewer enrollees in eligible plans, the health policy research group said — a concerning trend putting more stress on Medicare’s coffers that could ...

To avoid losing funding, many states are pursuing proven cost-saving strategies like downsizing inpatient care rather than ...

Fewer companies may be impeding the flow of digital health information, but some could be doing so frequently, the ONC said.

Medtronic has begun to notify people who may have been affected by a cyberattack that was disclosed more than two months ago.

Express Scripts, Caremark and Optum Rx sued the FTC after the agency accused them of driving up the cost of insulin. But the ...