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CMS final rule cracks down on improper ACA enrollments

The Centers for Medicare and Medicaid Services issued a final rule on Friday intended to crack down on what it calls improper…

Health plans make commitment to streamline prior authorization

Health insurers, including Humana, Elevance and CVS Health, have committed to a number of actions meant to simplify and reduce…

Virtual reality is ‘changing the face of healthcare’

Dr. Sarah Hoffe, interim chair of GI oncology at Moffitt Cancer Center, says she saw it change a 68-year old…

UnitedHealth launches tech-enabled personalized provider search

UnitedHealthcare has launched a tech-enabled Smart Choice to enhance provider searches for its members. The technology finds a provider based…

Hospitals are dealing with a price cap in Indiana

The penalty for non-compliance is the loss of tax-exempt status for a not-for-profit hospital for a year, says Hal Andrews,…

The biggest part of innovation is surprisingly not AI

The main theme of a HIMSS25 panel was not around tech, but was about the culture of innovation making the…

Humana plans to reach 4-star Medicare Advantage ratings in 2028

Humana plans to achieve 4 stars in its Medicare Advantage star rating in 2028, according to information released during its…

Supreme Court upholds ban on gender-affirming care for youth

The Supreme Court on Wednesday upheld Tennessee’s ban on gender-affirming care for transgender youth. Three transgender minors, their parents and a…

Surgical robot gives doctors an extra set of hands

Maestro is a surgical assistance platform designed for minimally invasive soft-tissue procedures such as laparoscopic operations, says Anne Osdoit, CEO…

CIOs say health systems, EHRs not ready for AI deployment

Just 14% of healthcare CIOs say their organization has a comprehensive, well-defined AI strategy, according to Qventus survey data and interviews…