Healthcare Dive

The contract lapse comes as the health system and cancer institute are winding down a decades-old partnership.

A strong data foundation is the key to scalable healthcare AI.

The key to better Star Ratings extends beyond the hospital stay.

After nearly tripling its contract ceiling with the VA, Congress wants to hear from Oracle’s Executive Chairman Larry Ellison and CEO Mike Sicilia about the project’s escalating costs and lengthy timeline.

Pressured by federal antitrust concerns, Fairfield Medical Center has completed a merger with Adena Health after pivoting from a planned sale to state giant OhioHealth.

The technology can make clinical documentation mistakes that are hard to detect, leading to potential medical errors and lawsuits as health systems increase their use.

The NSA has saved at least $1 billion on out-of-network emergency medical spending, according to the billings firm’s new study. But HaloMD’s methodology leaves something to be desired, independent experts said.

Shoddy CMS oversight is to blame, and the agency needs to do better, the HHS Office of the Inspector General said. The CMS concurred.

The dialysis provider has opted to settle a proposed class action lawsuit stemming from a data breach last year that impacted 2.7 million people.

The healthcare distributor said the incident affected a subset of customers in its oncology and medical-surgical businesses.

Daniel Chojnowski, JHHP’s current CFO, will provide stability so that the Baltimore-area insurer can recruit full-time for its next chief executive, the company said.

The list tells providers what treatments will no longer need preapproval this October, part of UnitedHealthcare’s pledge to cull 30% of its much-maligned utilization management controls. The codes span a broad range of services.

Focused on Medicaid, the new pacts now involve more than just large pharmaceutical companies.

The systems agreed to 10 years of state oversight and $600 million in investments as South Dakota-based Sanford moves into the Twin Cities.

An analysis of more than 550 million healthcare encounters from the EHR giant’s research division illuminates how restricting Medicaid coverage leaves low-income patients more directly on the hook for medical bills.

A deal between rival drug middlemen Prime Therapeutics and Express Scripts depressed reimbursement rates for pharmacies, according to the new complaint. It’s the latest legal challenge against the partnership.

Bradley Bolivar is taking the reins of Centene’s IT strategy as artificial intelligence drives a sea change for how insurers do business.

As specialty medicines play a growing role in healthcare, the patient journey that follows is equally critical.

More than 65% of physicians use AI daily or weekly for clinical or administrative work — and some believe they should be paid more if the tech increases their efficiency, according to a Doximity report.

Researchers estimate that independent dispute resolution has created $22 billion in unnecessary spending. But that estimate is flawed, argue associations representing anesthesiologists, radiologists and ER doctors.