Women’s health startups should plan for reimbursement early, as limited research and evidence can make securing coverage ...

When payors consider only the cost of the medication and not the cost and risk to the patient, doctor, and healthcare system, ...

PatientRightsAdvocate.org sued the American Medical Association this week, arguing the trade group has no valid copyright ...

A Bristol Myers Squibb drug has received accelerated FDA approval for treating multiple myeloma, a decision that introduces a new class of medicines and establishes a new regulatory benchmark for ...

This week, payers lost a major battle over how much they can lowball providers in surprise billing disputes. The ruling doesn’t take effect immediately — the court left the existing QPA formula in ...

Cotiviti, a healthcare infrastructure company, launched a new AI-powered coordination of benefits solution on Thursday to support payers. Salt Lake City-based Cotiviti offers solutions to increase ...

Everybody wants to be “AI-first” because the market is telling them they need to be. But what is AI-first? Is it AI-native? Is it software that has successfully threaded AI across its business? I’m ...

The 1842 Fund launched a new startup called Suvi Health, which is developing an ambient AI platform that records hospital bedside conversations and turns them into a shared task list for patients and ...

A new survey finds that employers are moving away from the Big Three PBMs while prioritizing healthcare affordability and transparency.

While organizations have invested heavily in expanding ambulatory networks, many are discovering that operational workflows have not evolved at the same pace. The result is a growing gap between ...

Revenue cycle vendor Unlimited Technology Systems disclosed a ransomware attack affecting 3.8 million patients — the ...

NOCD, a virtual provider for OCD, announced plans to expand its virtual intensive outpatient program for people with severe ...