The deployment of AI tools within health care could create a best-of-all-worlds system. But without coordinated intervention ...

In a new study with implications for state and federal efforts to reform payments to doctors and hospitals to encourage greater coordination of care, Harvard Medical School researchers found that a ...

Payment systems for health care today are based on rewarding volume, not value for the money spent. Two proposed methods of payment, “episode-of-care payment” and “comprehensive care payment” ...

There is a world where healthcare payments are fast, secure and frictionless. That’s the promise of modernization—and the opportunity for payers to lead the way. Despite the rapid pace of clinical ...

Advocates warn that delayed payouts to providers could jeopardize access to vital healthcare for thousands of immigrants in custody. Above, an anti-ICE rally this week in Portland, Maine.(Joseph ...

Consider a common scenario: a check issued to a member in Denver never arrives, only to be cashed days later in Orlando for an entirely different amount. What looks like simple mail theft is often ...

Health plans remain committed to value-based care, with both public and private payers funneling dollars to alternative payment models, according to a new survey from America's Health Insurance Plans.

Voters, during this year’s general election will decide if Colorado is to be the first state to have a universal health care payment system. The ColoradoCare System Initiative, or Amendment 69, is ...