When Centene Corporation reported its first-quarter results in late April, the numbers told two stories that seemed ...

Fabricated medical records may increase AI-driven fraud risks for insurers, urging stronger scrutiny and AI strategies, says ...

There really is this increased compliance burden on health insurers to demonstrate that they’ve conducted their diligence on ...

The strike force allows the department's healthcare fraud unit to coordinate with U.S. attorney’s offices in Arizona, Nevada ...

A Rochester lawmaker aims to reinforce a 2010 Minnesota law that requires health insurance to cover home care nursing ...

It's tough to write nuanced headlines, but a new study on AI in emergency rooms is getting way overhyped.

Major insurers continue to pull back from the ACA marketplace as enrollment declines, bronze plan uptake surges and the expiration of enhanced premium subsidies reshape the risk pool heading into 2027 ...

For World Asthma Day, GINA is spotlighting the need for greater access to inhaled corticosteroids for everyone, from adults ...

With denial rates at 4 percent in 2025, the Dallas-based, tech-forward insurer is outperforming national averages.

A breast cancer survivor wants more insurance companies and hospitals to embrace a new treatment to prevent hair loss.

There is boiling rage at health insurers among the public — for instance, over the fact that premiums for a family health ...

More than 12 million people — about 43% of those in traditional Medicare — buy a Medigap policy. Others rely on some sort of retiree employer coverage or a different backup. About 13% of people in ...