AI-driven solutions can optimize specialty drug billing, reducing costs and enhancing financial efficiency in managed care. An AI algorithm identifies cost-effective billing methods by comparing ...

With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find ...

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