In a hearing this week, Republican legislators appeared open to changing the privatized Medicare program — once a GOP darling that’s fallen out of favor amid concerns about prior authorizations, care denials and profiteering.
Humana is taking a second bite at the apple to improve its sunken MA stars, filing an edited complaint with a Texas court on Monday. The insurer also announced plans to pare back its prior authorization policies.
AI promises to transform healthcare through streamlined administration and improved diagnostics, yet challenges with accuracy and bias remain. Learn how industry leaders are approaching AI innovation in this Trendline.
A new National Bureau of Economic Research analysis links hospital-physician consolidation to lower competition and higher costs down the line. The American Hospital Association slammed the study as flawed.
Explore how real-time data solutions can help payers reduce avoidable readmissions by 50% or more while improving quality scores that drive reimbursement and member satisfaction in this infographic.
