The WISeR model introduces AI-based prior authorization, aiming to reduce fraud and unnecessary care. Congress and CMS are ...

The Rural Health Transformation Program (RHTP) focuses on improving access, outcomes, technology use, partnerships, economic ...

Campus is a collaborative effort among the county’s Departments of Health Services, Mental Health and Public Health in ...

Medicaid fraud is estimated to cause over $200 billion in improper payments annually, primarily perpetrated by providers ...

Adventist HealthCare’s Mary Kim, M.D., discusses how Innovaccer deployment is supporting clinically integrated network’s ...

Zuckerberg San Francisco General Hospital’s Lucas Zier, M.D., saw an opportunity to use the EHR for system-wide performance ...

The fact is that the vast bulk of healthcare expenditures going forward will be connected to chronic illness. Yes, of course, ...

Patients’ fears of immigration raids lead them to miss doctors' appointments, reported Christine Mai-Duc for KFF Health News on August 14. Some doctors had stopped offering telehealth visits after the ...

That headline and subhead spoke to the perilous moment that health plan leaders are facing right now, as the U.S. population ...

The review was the 12th OIG report in a series on staffing shortages and the 8th to identify severe occupational staffing ...

Richard Clarke, Ph.D., Highmark’s chief analytics officer, says AI solution will help clinicians understand in real-time ...