The agentic AI platform works with EHR data to provide insights in care resource management, says Philipp von Gilsa, CEO of kontakt.io.

The U.S. Department of Justice has completed its 2025 National Health Care Fraud Takedown, which resulted in criminal charges ...

According to CMS, they should review Medicare Summary Notices and Explanation of Benefits for any unfamiliar charges or services, and report any suspicious activity to 1-800-MEDICARE (1-800-633-4227) ...

Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

Data gives insights but that information works best when it can be seen by a customer service representative during a patient interaction, says Casey Williams, senior VP of patient engagement at ...

A telehealth provision in bill makes permanent first-dollar coverage for High-Deductible Health Plan-Health Savings Accounts, ...

In the mid revenue cycle, AI makes more accurate and efficient decisions, ensuring hospitals get reimbursed the amount ...

Health and Human Services Secretary Robert F. Kennedy Jr. has said the United States will cease making contributions to Gavi, ...

AI is the great equalizer that along with health informatics will lead to tremendous benefits for healthcare building on the work of the last 25 years, says Prashant Natarajan, Velatura Public Benefit ...

Dr. Patrick Conway, who was named CEO of Optum in May, is also taking on the position of leading Optum Health, according to a ...