The prior authorization process is in the spotlight as the majority of Americans say delays and denials of services and ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

Johns Hopkins Medicine and UnitedHealthcare are at odds over an agreement that would keep the insurer’s health coverage in ...

A new Medicare model will soon be implemented to improve care quality and address costly inefficiencies, without changing coverage or patient choice.

UnitedHealth Group reported second quarter earnings Tuesday, for the first time not serving as the bellwether for the ...

Michigan's Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs ...

The report, compiled for The New York Times by health analytics company Komodo Health, shows that denial rates rose from 18.3 ...

A new survey reveals widespread consumer frustration with prior authorization, highlighting the need for urgent reform in ...