Mary Washington Healthcare in Virginia is outsourcing its revenue cycle operations. The nonprofit health system of 60 facilities announced it has selected Ensemble Health Partners for its revenue cycle management, joining numerous other hospitals that are opting to outsource some or all of revenue cycle operations. 

The health system has partnered with Palantir for an AI-driven Virtual Command Center that includes Hospital 360, a real-time display of patient census and capacity, says Albert Marinez, chief analytics officer at Cleveland Clinic.

UnitedHealthcare, one of the largest players in the Medicare Advantage market, has filed a lawsuit against the Centers for Medicare & Medicaid Services (CMS) following a downgrade in its star ratings. The lawsuit, filed in late September, challenges CMS’s decision to lower the company’s star ratings, an important factor in determining Medicare Advantage plans’ reimbursement […]

Prioritizing wellness means taking into account the out-of-pocket cost for patients, according to Alberto “Beto” Casellas, Casayess EVP & CEO of Health and Wellness Platform at Synchrony.

The emergence of preventative medicines will have a profound impact on the ability to improve patient outcomes and reduce healthcare costs associated with chronic diseases, according to PhRMA’s latest Medicines in Development report.

AI offers consumers easier access to diagnoses, treatment plans and cost estimates, with 87% being fine with the tech for clerical work; 50% being comfortable with its use in assisting physicians; but only 14% wanting AI to do a diagnosis on its own, says Mark Polyak, president of analytics at Ipsos.  

As the cost of healthcare in the U.S. continues to rise, many employers are rethinking their plan designs instead of passing the added expenses onto workers, found a report from global advisory and broking firm WTW.

Humana blames higher industry cut points and one contract decreasing to a 3.5-star rating from a 4.5-star rating in 2024.

The Dayton VA Medical Center, working with MIT and Harvard, has developed an integrated algorithm called Sybil for the detection of lung nodules and cancer risk, says Zachary Arose, chief of healthcare technology management at the Dayton VA Medical Center.

The Centers for Medicare and Medicaid Services has released final guidance on the process for the second cycle of drug price negotiations.