A 2024 CMS rule now requires payers, including Medicare Advantage plans, Medicaid, CHIP and ACA exchange carriers, to publicly report prior authorization metrics for the first time. The public ...

The health system claims the policy, which reduces reimbursement for some inpatient hospital stays, violates federal law and ...

Newly announced artificial intelligence applications highlight the shift toward domain-specific automation, where reasoning ...

Revenue is the lifeblood of any organization, and few disruptions are more destabilizing than a breakdown in the revenue cycle. As a result, a growing number of organizations are turning to automation ...

Learn how generative AI works for startups in India, from LLMs and tokens to real use cases, costs, and India-specific AI ...

There are three key ways to reduce the administrative burden in the US health care system.

Medical coding is the foundation of how healthcare systems understand themselves. There is a code for being struck by a duck ...

The "Claude-gap" relationship is on the rise. Vibe coders told Business Insider about trying to explain their late-night sessions to their spouses.

The latest AI push at Meta is "AI Week," where employees build things using Claude and other tools. Staff is spinning up interactive vibe coding guides, competing in hackathons, and watching demos.

Under the change, HHSC’s long-term supports and services manager said some children would be able to access services through the Medically Dependent Children Program, or MDCP, without first going to a ...