payers

The payer disputes an audit finding that 70% of the diagnosis codes submitted for 'high risk groups' in 2016 and...

Frankie, then a high school junior, worried that she might have a concussion that could affect her performance on an...

Analysis of price transparency data suggests better information on health insurance exchange plans (HIX) is needed.

Several federal agencies issued a set of final rules based on the No Surprises Act aimed at making it easier...

"Particularly for payers now, you need to show economic outcomes and savings," says one company founder.

"Fighting for patients? lives should not include fighting to get paid," says Envision Healthcare CEO Jim Rechtin.

Members of the Medicare Payment Advisory Commission (MedPAC) gathered for a presentation by MedPAC senior analyst Rachel Burton, MPP, and...

The recent acquisition will convert HCSC from customer to owner of the ninth largest third-party administrator (TPA) in the U.S...

Leaders from three very different organizations discuss the rapidly changing state-of-play surrounding platform strategy.

Stakeholders from five countries identify critical digital transformation connections in the 2022 HIMSS survey.

The potential impact is considered "relatively modest" as the industry is better positioned than it was during the 2008 recession.

The national retailer is the first large employer to join the Quality Care Collaborative, which supports quality improvement in radiology...