Insurance coverage for prescription digital therapeutics has been notably uneven, with many health care leaders lacking ...

By a News Reporter-Staff News Editor at Insurance Daily News-- Current study results on Managed Care have been published. According to news reporting originating from Indianapolis, Indiana, by NewsRx ...

Contract negotiations adhere to a rule that 80 percent of time should be used to prepare for the negotiation and 20 percent to negotiate. To help be more effective in achieving results when you ...

Here are seven best practices from managed care contracting experts to help you get paid fairly by third-party payors. 1. Give yourself ample time to negotiate a contract. To convince a payor that you ...

CLEVELAND, Ohio — The Cleveland Clinic is turning to generative AI to review medical coding in a fraction of the time that it takes humans take to do the same task, the health system announced Tuesday ...

Morristown, N.J.-based Atlantic Health System announced it is partnering with QualCare, New Jersey's largest provider-sponsored managed care group that covers more than 750,000 members, according to ...

BOSTON--(BUSINESS WIRE)--Avant-garde Health, the leading provider of solutions for improving perioperative quality and profitability, is helping Nebraska Methodist Health System enhance the accuracy ...

To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include a special feature: reflections from a thought leader on what has changed—and what has not ...