Francine de Stoppelaar, Hospital Wide Operational Activation Lead of Cleveland Clinic London, found success in helping to build the hospital from the ground up after five years of intense preparation.  

Minnesota Attorney General Keith Ellison is using a new state law to review two proposed hospital mergers to determine whether they are in the public’s interest. One involves the 25-hospital system that would be created by the merger of Essentia Health and the Marshfield Clinic Health System. The other would unite St. Luke’s Duluth and […]

Molina Healthcare will cease administering a long-term services Medicaid contract called Indiana Pathways for Aging, according to regulatory filings published this week.

Artificial intelligence, as an emergent technology, is poised to transform healthcare in a number of ways. There are a lot of expectations being placed on the technology, and in some cases it can deliver. It has shown promise in crunching large amounts of data and in informing clinical decisions and insights, and while it’s not […]

If you’re not continually learning about healthcare cybersecurity, you’re putting your organization at risk. Hans Hioyos, field CISO for Prophecy, Americas, explains the importance of attending the HIMSS Cybersecurity Forum for healthcare leaders.

A federal judge has struck down a Trump administration rule that allowed health insurers to exclude drug manufacturer copay assistance towards a beneficiary’s out-of-pocket costs. Under the Trump rule, these “copay accumulator” policies meant patients generally paid more out of pocket for their prescription drugs.

Healthcare insurers have been rolling out their new Medicare Advantage offerings and are touting benefits that range from cost to ease of access, ahead of open enrollment starting October 15. UnitedHealthcare, for example, will expand its coverage area and reach 96% of all Medicare consumers, the insurer said in a statement this week.

Geisinger medical director of AI Dr. Aalpen Patel describes the role of AI in healthcare and some of the health system’s initiatives, including an effort that seeks to prioritize eligible patients who are overdue for colorectal screenings.

All 10 drug companies whose drugs were selected for price negotiation with Medicare for the first cycle of the program have decided to participate in those negotiations, according to the Centers for Medicare and Medicaid Services.  The drug companies have also indicated they will participate in negotiations with Medicare during the remainder of 2023 and […]

Health insurer Cigna has agreed to pay $172 million to resolve allegations that it padded its reimbursement by submitting false Medicare Advantage diagnostic codes.