Insurance

• Closing the revenue gap: How health plans can boost RAF scores through smarter coding and data strategies
  May 15, 2026
• Premier tells Congress to improve CMS to reduce costly denials and appeals
  January 28, 2026
• Medicare reimbursement for MR has dropped more than 75% since 2003
  November 12, 2025
• The crucial role of payment Integrity in healthcare
  August 01, 2025
• Humana plans to cut prior authorization for certain MR and CT scans
  July 24, 2025
• Medicaid must accelerate AI adoption to navigate through our industry’s unprecedented uncertainty
  April 28, 2025
• Preparing for the next wave of interoperability: Strategies for health plans
  July 29, 2024
• Insurer Priority Health expands into Northern Indiana and Ohio with new acquisition
  June 25, 2024
• Premier helps AleraCare extend payment terms to increase working capital
  March 22, 2024
• Increasing denials, prior authorizations driving providers to drop health plans
  March 13, 2024
• Former medtech CEO found guilty of insurance fraud with bogus medical device component
  March 12, 2024
• AMA, AHA tell US government to do better by providers affected by Change Healthcare hack
  March 08, 2024
• Rising MA enrollment pushing more rural hospitals to the brink of closure: report
  February 23, 2024
• MR imaging was most searched medical term regarding cost in 2023, says FAIR Health
  February 15, 2024
• U.K.’s NHS seeks digital remedy for improving health
  February 09, 2024
• Maine DHHS and Maine Hospital Association to improve reimbursement and support health of Maine through MaineCare rate reform
  February 08, 2024
• Blue Cross and Blue Shield of Vermont ends prior authorization for MR scans at Open MRI
  February 05, 2024
• Man sentenced for $336M healthcare fraud, wire fraud, and identity theft scheme
  February 05, 2024
• Cigna to sell Medicare Advantage business to HCSC for $3.7 billion
  February 02, 2024
• Only 1% of radiologist claims were out of network in 2021
  January 22, 2024
• Independent dispute resolution of No Surprises Act financially unviable for radiology
  January 18, 2024
• Cigna in talks to sell Medicare Advantage business to HCSC for $3 billion to $4 billion, says source
  January 05, 2024
• Envision Healthcare renews in-network agreement with Blue Cross and Blue Shield of Texas
  January 05, 2024
• UnitedHealth Group to sell Brazilian operations to private investor for over $515 million
  January 04, 2024
• Navigating the next big shift in revenue cycle automation: AI-powered denials management 
  December 29, 2023