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Business Intelligence

By Jeff Lagasse | 02:39 pm | May 05, 2025
EnReachRx includes dose optimization support, as well as enhanced fraud, waste and abuse detection and interventions.
By Jeff Lagasse | 10:44 am | May 05, 2025
The PBMs allegedly formed an unlawful agreement that suppressed reimbursement rates to independent pharmacies.
By Jeff Lagasse | 03:24 pm | May 02, 2025
The company escaped an elevated cost trend among insurers partly due to its smaller Medicare Advantage footprint.
HIMSS25
By HIMSS TV | 02:07 pm | May 02, 2025
Recent CIO Connect graduate Lateefah Agunbiade of Roanoke Chowan Community Health Center says being a part of the program gives her support in her profession and has helped propel initiatives within her organization.
By Jeff Lagasse | 10:47 am | May 02, 2025
Operating margins for U.S. health systems narrowed slightly to 0.9% in March after holding steady in January and February.
By Jeff Lagasse | 03:17 pm | May 01, 2025
Aetna has struggled since its reintroduction into the ACA exchange, and posted an adjusted operating income loss of $924 million in 2024.
By Jeff Lagasse | 10:24 am | May 01, 2025
Conway is currently the CEO of Optum Rx, and will replace Heather Cianfrocco, who is moving to a new role.
HIMSS25
By HIMSS TV | 04:09 pm | April 30, 2025
Subject matter experts in the field are already scouting topics for HIMSS26 and decisions also rely on proposals received, says Michele Krajewski, chair of the committee.
By Jeff Lagasse | 03:25 pm | April 30, 2025
The insurer says it's enhancing its Medicaid platform, focusing largely on dual-eligibles.
By Jeff Lagasse | 02:53 pm | April 29, 2025
The ultimate goal is to streamline documentation and coding in the mid-revenue cycle.