Oracle Health to apply for QHIN status under TEFCA data sharing framework
The Trusted Exchange Framework and Common Agreement went live in December with five Qualified Health Information Networks. Two more were added early this year.
5 steps to navigate the FDA’s new lab developed test rule
Laboratories face a series of upcoming deadlines to comply with stricter FDA oversight of in-house tests. Here are five strategies labs can take to be ready.
Centene beats investor expectations despite Medicaid headwinds
Like other payers, Centene flagged a mismatch between patient acuity and payment rates in Medicaid. But the insurer said a diversified portfolio helped it navigate challenges in the third quarter.
Providence, Compassus to form joint venture offering home health care
Home health is already a lucrative market, and Providence expects demands for services to only grow as patients age, according to CFO Greg Hoffman.
Election 2024: Where Harris, Trump stand on AI regulation
Analysts expect Kamala Harris to largely continue the current approach to AI oversight, while Donald Trump’s promise to repeal a Biden executive order signals a major shift.
AMA sues MultiPlan, insurers alleging ‘cartel’ to fix physician prices
MultiPlan, which denies the allegations, has been sued dozens of times over concerns the company is conspiring with health insurers to underpay doctors for out-of-network care.
Zoom, Suki partner to deploy AI clinical documentation
The deal is Suki’s largest provider collaboration. Nearly 140,000 healthcare institutions use the Zoom platform.
Molina ‘beating the odds’ in Medicaid
Conservative planning and continued business growth helped Molina keep an ongoing mismatch between payment rates and member acuity from dinging its bottom line in the third quarter.
‘AI arms race’ underway as payers, providers jockey for upper hand in claims review
Payers currently have a leg up when using AI to review claims, but providers could soon catch up, experts say.
Change Healthcare data breach officially affects 100M
The breach marks the largest ever reported to a portal managed by federal regulators.