Regulators cut almost a dozen metrics that factor into the quality ratings and reverted back to an older and more generous ...

Another major healthcare breach has surfaced as TriZetto confirms attackers stole sensitive data affecting millions across ...

Ahead of the full data release and FDA regulatory decision, doctors and researchers parse the limitations of clinical trials ...

Disputes between health insurers and medical providers are on the rise. A major health insurer beats expectations by aggressively controlling medical costs, while hospitals struggle to maintain their ...

For UnitedHealthcare Medicare Advantage plans, only 2.5% of claims require prior authorization, excluding certain requests, ...

Although these insurers often state that patients can apply for continuity of care, the process can be nearly impossible to navigate. Patients struggle to find the correct channel to request the ...

New data shows that insurers participating in the federal ACA exchange rejected 19% of claims.

With price increases across its plans, Oscar Health believes it can return to profitability, generating $250 million to $450 ...

As Louisiana lawmakers search for ways to lower prescription drug prices for patients, they say their efforts to are running ...

Lenacapavir could put the end of the HIV epidemic in reach — if the people who need it can access it. Here’s one way to make ...

Tens of thousands of patients of Legacy Health woke up Wednesday to a new reality: Their Regence insurance plans no longer ...