Add lanes to a highway and the traffic only gets more congested. Add doctors to a local health system and waiting times increase. What explains these parallel paradoxes? 

Any negotiations are currently in the early stages, sources told Reuters. If a deal closes, Waystar could be taken off the stock market and restructure itself as a private business. 

Zakia Khan, 55, from New York City pleaded guilty to billing Medicaid for unnecessary patient services, paying coconspirators illegal kickbacks in exchange for referrals. Her businesses earned roughly $56 million in fraudulent reimbursement, the DOJ said.

In an op-ed published by The Hill, a policy expert calls for a paradigm shift in which the U.S. addresses the shortage of doctors with supportive policy that alleviates the hefty price tag of medical school.

Since 2024, the VA-OIG has been using the popular AI chatbot to pull necessary records and data to conduct its regulatory audits, a media report reveals.

In total, Helen Boerman, an optometric physician, admitted to sending $11 million in false claims to various government healthcare programs. She will spend the next three-and-a-half years in prison.

According to Axios, the deal could be worth $300 million. The buyout was revealed in a regulatory filing. 

The lawsuit was filed by two major institutional investors who blame company leadership for the 2024 breach on Change Healthcare and accuse executives of facilitating alleged Medicare billing fraud. 

A commercial algorithm for intracranial aneurysm performed admirably across inpatient and emergency scenarios but came up short on the outpatient side, according to new Neiman Health Policy Institute research. 

The ACCESS model is designed help more patients get treated and managed with advanced technologies. In addition to heart failure, improved coverage has been announced for Medicare beneficiaries battling COPD, substance use disorders and nicotine dependence.