Hospitals could be on the hook for significantly higher outpatient drug prices. Because of the cuts to Medicaid, hospitals in the 340B program will see fewer Medicaid patients and may risk losing ...

In response to rising expenses, Novant Health is shifting care to lower-cost ambulatory settings, allowing it to weather potential site-neutral payment changes. Workforce retention initiatives and ...

More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of the six commitments at the core of the initiative.

For years, we've been told that the healthcare system in America is just the way it is: complicated, inefficient and built more for insurance companies than for actual patients or doctors. But ...

The U.S. Senate's health committee on Wednesday approved Susan Monarez to be President Donald Trump's director of the CDC, taking her one step closer to confirmation. The committee voted 12-11 for ...

The WSJ report said former employees were questioned by prosecutors working for the healthcare-fraud unit in recent weeks about the company's efforts to record specific diagnoses that generate higher ...

As public trust declines and technology transforms decision-making, CFOs must lead with ethics, not just compliance.

Knowing how to communicate with legislators and governing bodies is an essential part of nursing advocacy. When it comes to participation in the legislative process, it's important to identify and ...

The primary elements of physician development include effective onboarding, education, and mentorship, this new hospital CMO ...

The federal government is using AI to crack down on health care fraud schemes. The AI-powered crackdown provides the feds with a tool to stay ahead of fraudsters and hasten investigations. The effort, ...

Premier has expanded its clinical decision support capabilities with the acquisition of healthcare technology company IllumiCare, known for its EMR-agnostic platform. This platform integrates clinical ...

An estimated 1 in 3 teens and preteens, ages 12 to 17, have prediabetes, according to new data from the CDC. The CDC data means an estimated 8.4 million young people — or 32.7% of the U.S. adolescent ...