Operations

Humana blames higher industry cut points and one contract decreasing to a 3.5-star rating from a 4.5-star rating in 2024.

It's the second consecutive month in which operating margins tightened, Strata's data shows.

The potential return on investment from reducing these inequities could be enormous, a Deloitte analysis finds.

The American Heart Association is well known for its clinical research and guidelines, but what makes a difference for patients is implementation, says John Meiners, chief of mission-aligned businesses and healthcare solutions for the organization.

Various forms of a potential separation are reportedly under consideration, though specifics remain unclear.

The drugmaker says it believes the rebate model is legally permissible and needed to improve the integrity of the 340B program.

UMC has been able to keep its ER open, but other services have been disrupted.

ChatGPT and other large language models enable a new level of patient empowerment in their care, such as navigating questions about their diagnosis, insurance benefits and cost, says Dr. Chethan Sarabu, AI & informatics strategist at OpenNotes.

Denial rates have steadily increased, with providers seeing rejection rates as high as 10% to 15%.

Christopher Ahn, biomedical engineer supervisor at the U.S. Department of Veteran Affairs in Dayton, Ohio, developed a chatbot called the Healthcare Technology Large language Model that allows clinicians to query the chatbot rather than carrying around service manuals or scrolling through a pdf, Ahn says.