AHA: "The number of individuals who will lose health coverage -- cannot be simply dismissed as waste, fraud and abuse." ...

CMS is proposing 6.4% decrease in home health payments for 2026, representing a $50M headwind, says financial analyst.

RhythmX AI reduces the amount of time providers spend on chart search and review, which allows them to focus on health needs ...

The app store model in healthcare will return to the former and more appropriate best-of-breed model when interoperability is ...

The company is adding new products treating a range of issues, including HIV, hypertension and behavioral health.

The agentic AI platform works with EHR data to provide insights in care resource management, says Philipp von Gilsa, CEO of ...

The U.S. Department of Justice has completed its 2025 National Health Care Fraud Takedown, which resulted in criminal charges ...

According to CMS, they should review Medicare Summary Notices and Explanation of Benefits for any unfamiliar charges or services, and report any suspicious activity to 1-800-MEDICARE (1-800-633-4227) ...

Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.

For hospital-based ESRD facilities, CMS projects an increase in total payments of 1.5%, and for freestanding facilities, an increase in total payments of 1.9%.

Data gives insights but that information works best when it can be seen by a customer service representative during a patient interaction, says Casey Williams, senior VP of patient engagement at ...