Cigna announced it was exiting the Affordable Care Act market at the end of the year.

The Centers for Medicare and Medicaid Services is extending the application deadline for drug manufacturers to apply to the ...

Margin improvement and MA member retention are doable, as are top-quartile star-rating results in 2028, company says.

Patient care is a holistic solution as getting prior authorization doesn't help the patient who can't afford the medication, says Brian Smith, chief pharmacy officer at Shields Health Solutions.

According to eHealth Exchange's FHIR consultant Scott Rossignol, once CMS' new rules take effect in 2027, patients will learn when prior authorizations are needed and see faster prior authorization ...

The partnership for a new employer-based program design will lower patient cost by streamlining patient onboarding and ...

The partnership for a new employer-based program design will lower patient cost by streamlining patient onboarding and automating benefit checks.

AI is reducing administrative burden for hospitals and providers but it is not always leading to lower costs. That’s the ...

Meeting with state legislators to discuss healthcare data security and patient rights amplifies HIMSS' voice on these policy issues, according to Lawrence Voyten, chair of the HIMSS Chapter Advocacy ...

Rad AI CIO Demetri Giannikopoulos recommends that new AI tools be tested and monitored in sandbox environments before clinical deployment.

The CEOs of four health systems testified before the House Ways and Means Committee Tuesday in a hearing about the high price ...

Underlying shifts in payer mix resulting from the changes in the exchanges were generally in line with expectations, says CEO ...