CVS Health has seen profit and revenue grow over the past year, logging $1.8 billion in profit for the first quarter of the year, and $94.6 billion in revenue (compared to $1.1 billion and $88.4 billion in Q1 2024, respectively). But the company’s insurance arm, Aetna, is struggling, and will exit the Affordable Care Act […]
The Supreme Court has ruled against hospitals in a case over disproportionate share hospital payments. The Justices handed up a 7-2 decision on Tuesday.
Subject matter experts in the field are already scouting topics for HIMSS26 and decisions also rely on proposals received, says Michele Krajewski, chair of the committee.
Providers can help offset shrinking reimbursements, inflation, rising operational costs and compliance requirements by cross-training staff and automating administrative tasks, says AdvancedMD CEO Amanda Sharp.
Leadership changes are afoot at Optum, with parent company UnitedHealth Group announcing that Dr. Patrick Conway will become CEO of the division.
Humana took in $1.2 billion in profit in the first quarter of 2025, enough for the insurer to reaffirm its outlook for the year. Revenue clocked in at about $32.1 billion for the quarter, while earnings per share were $11.58.
Banner Health’s “Text the CEO” for patients to give direct feedback to executives started as a pilot in 2021 and has expanded to 125 locations, says Amy Adashek-Pinn, senior digital product manager.
Patient financial platform Cedar has launched Kora, an AI voice agent that is projected to automate 30% of inbound billing calls by year-end. The platform is trained on Cedar’s pre-existing billing data so that Kora is able to intelligently answer billing questions beyond traditional interactive voice response, Cedar said. It can explain charges, identify payment […]
The California Department of Managed Health Care (DMHC) has levied a fine totaling about $819,150 to Oakland-based Kaiser Permanente for alleged delays in handling complaints from health plan members.
The Cleveland Clinic will be furthering its artificial intelligence ambitions by deploying generative AI tools meant to make medical coding more accurate and efficient. In partnering with generative AI outfit AKASA, Cleveland Clinic will be implementing a number of AI-powered technologies during the mid-revenue cycle – the phase between patient care and billing, where documentation […]