CMS is leveraging AI and machine learning to flag possible Medicare and Medicaid fraud. However, COO Kimberly Brandt says experts like clinicians and forensic accountants are needed to verify their ...

Amid workforce shortages and demand for care, devices, apps and remote monitoring will transform homes into healthcare hubs to ease pressure on clinicians while expanding care access, according to ...

Mass General Brigham Health Plan and mPulse have partnered to launch an interactive wellness hub for health plan members enrolled in commercial employer accounts as well as those enrolled in Medicare ...

Most providers say having the majority of their payers support the Prior Authorization API requirements is extremely ...

At HIMSS26, one attendee says that meeting colleagues face-to-face enhances his working relationships and reminds him of how their team works together to serve real patients. Hear other stories from ...

Preliminary injunction also stays the appointment of 13 members of ACIP and halts all votes taken by the committee.

While AI is increasing the rate of cyber incidents, Robert Herjavec, cybersecurity expert and star of ABC's "Shark Tank," says 85% of ransomware attacks still originate from email or MFA breaches.

"Kill the clipboard" is a mantra of CMS as the agency advocates for patients to be able to scan a QR code to bring their data ...

Aetna, the health insurer subsidiary of CVS Health, has agreed to pay $117.7 million to resolve allegations that it violated ...

Kassaundra McKnight-Young, Zebra Technologies CNIO, recommends that rising healthcare leaders work closely with bedside clinicians to understand their technology needs and design people-centered ...

LAS VEGAS – Physicians need to lead on tech transformation, especially when it comes to AI, said American Medical Association Executive VP and CEO John Whyte and Micky Tripathi, chief AI ...

Optum Real, a real-time claims system that instantly connects payers and providers, is partnering with Microsoft to speed the ...