CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...

The legislation would prohibit the federal government from implementing the Medicare pilot, which is expected to go into ...

Artificial intelligence will soon be used for prior authorization for certain Medicare services in Texas and five other ...

The mounting challenges facing hospitals led Nebraska lawmakers to try to help — pushing a bill to unlock up to $1 billion in ...

A Westfield family is breathing a sigh of relief knowing their terminally ill son’s care will be covered by Medicaid.

Long-anticipated raises for thousands of Minnesota nursing home workers will be delayed because the Minnesota Department of ...

Unprecedented minimum wages for thousands of workers in Minnesota nursing homes had been set to go into effect Jan. 1, but ...

Cotiviti, the new Recovery Audit Contractor (RAC) for Regions 3, 4 and 5, recently received approval from the Centers for ...

Fraudsters have pocketed upwards of $60,000 a year per individual approved to be provided with a family member as a home ...

The harmful Republican megabill imposes massive cuts in food assistance, health coverage, and other supports for people with ...

A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans' requests for ...

Tennesseans want the state legislature to focus on boosting the state’s economy next year, a new Vanderbilt poll has found, ...