Pharma has traditionally operated via a value chain that moved from manufacturer to wholesaler/distributor to pharmacy to patient, with reimbursement via the payer/pharmacy benefit manager (PBM).

Data-driven AI delivering meaningful RCM impact helps health systems reduce denials and streamline payer-provider workflows in real time.

A new study suggests insurance giant UnitedHealthcare is paying its sister company Optum's physicians more than it pays other providers. | A new study suggests that insurance giant UnitedHealthcare is ...

From L to R Paige Minemyer, Senior Writer, Fierce Healthcare; Dr. James Metcalf, Regional Chief Medical Officer, Medicare & Retirement, Optum; Puneet Maheshwari, GM, Optum Real; Pete Clardy, Senior ...

Optum launched an artificial intelligence-backed system Tuesday that aims to speed and simplify the medical claims and reimbursement process. The tool, called Optum Real, allows providers to message ...

UnitedHealth’s Optum has launched Optum Real, a real-time claims system designed to streamline the claims and reimbursement process by providing instant coverage validation for providers. “Optum Real ...

Wednesday was a major moment for the coverage of the United States military. Scores of journalists with access to the Pentagon handed in their press passes rather than sign on to new rules laid out by ...

The cybersecurity company F5 Inc. said nation-state hackers breached its networks, gaining “long-term, persistent access” to certain systems and stealing some source code. The breach prompted alerts ...

Cybersecurity firm F5 Networks says government-backed hackers had “long-term, persistent access” to its network, which allowed them to steal the company’s source code and customer information. In a ...

U.S. cybersecurity company F5 on Wednesday disclosed that unidentified threat actors broke into its systems and stole files containing some of BIG-IP's source code and information related to ...

Worldwide interest in value-based care (VBC) has grown substantially over the past decade. The benefits of successful VBC implementation have been well documented. One of the greatest challenges to ...